The holder whose full name is Bolanos, Alicia,come from Saint John IN,hold the Pharmacy Tech In-Training license(NO.99010110A) which status is Superceded.
| Name | Bolanos, Alicia |
|---|---|
| License Number | 99010110A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Saint John |
| State | IN |