The holder whose full name is Bak, Ashley D.,come from Fort Wayne IN,hold the Pharmacy Tech In-Training license(NO.99034682A) which status is Superceded.
Name | Bak, Ashley D. |
---|---|
License Number | 99034682A |
License Type | Pharmacy Tech In-Training |
License Status | Superceded |
City | Fort Wayne |
State | IN |