The holder whose full name is Kogelschatz, Tara Lee,come from Rolling Prairie IN,hold the Pharmacy Tech In-Training license(NO.99023530A) which status is Superceded.
| Name | Kogelschatz, Tara Lee |
|---|---|
| License Number | 99023530A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Rolling Prairie |
| State | IN |