The holder whose full name is Johansen, Brittany Nicole,come from Brazil IN,hold the Pharmacy Tech In-Training license(NO.99017912A) which status is Superceded.
| Name | Johansen, Brittany Nicole |
|---|---|
| License Number | 99017912A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Brazil |
| State | IN |