The holder whose full name is Ingram, Bradley Benjamin,come from Terre Haute IN,hold the Pharmacy Tech In-Training license(NO.99010096A) which status is Superceded.
| Name | Ingram, Bradley Benjamin |
|---|---|
| License Number | 99010096A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |