The holder whose full name is Fasel, Brandi Lee,come from Portage IN,hold the Pharmacy Tech In-Training license(NO.99018267A) which status is Superceded.
| Name | Fasel, Brandi Lee |
|---|---|
| License Number | 99018267A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Portage |
| State | IN |