The holder whose full name is Smith, Theresa Louise,come from Indianapolis IN,hold the Pharmacy Tech In-Training license(NO.99039205A) which status is Superceded.
| Name | Smith, Theresa Louise |
|---|---|
| License Number | 99039205A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |