The holder whose full name is Boothe, Alex Nicholas,come from Avon IN,hold the Pharmacy Tech In-Training license(NO.99057812A) which status is Superceded.
| Name | Boothe, Alex Nicholas |
|---|---|
| License Number | 99057812A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Avon |
| State | IN |