The holder whose full name is Bass, Andrew David,come from Pekin IN,hold the Pharmacy Tech In-Training license(NO.99048613A) which status is Superceded.
| Name | Bass, Andrew David |
|---|---|
| License Number | 99048613A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Pekin |
| State | IN |