The holder whose full name is WALSTRA, SHANNON SUE,come from FAIR OAKS IN,hold the Pharmacy Intern license(NO.45010489A) which status is Expired.
| Name | WALSTRA, SHANNON SUE |
|---|---|
| License Number | 45010489A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | FAIR OAKS |
| State | IN |