The holder whose full name is Taylor, TaKisha R,come from Lynwood IL,hold the Pharmacy Tech In-Training license(NO.99053682A) which status is Superceded.
| Name | Taylor, TaKisha R |
|---|---|
| License Number | 99053682A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Lynwood |
| State | IL |