The holder whose full name is Lange, Brittany Autumn,come from Mishawaka IN,hold the Pharmacy Tech In-Training license(NO.99032237A) which status is Superceded.
| Name | Lange, Brittany Autumn |
|---|---|
| License Number | 99032237A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |