The holder whose full name is Lawyer, Blane Phillip,come from Elnora IN,hold the Pharmacy Tech In-Training license(NO.99042226A) which status is Superceded.
| Name | Lawyer, Blane Phillip |
|---|---|
| License Number | 99042226A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Elnora |
| State | IN |