The holder whose full name is Mattes, Brandon C.,come from Lafayette IN,hold the Pharmacy Tech In-Training license(NO.99031353A) which status is Superceded.
| Name | Mattes, Brandon C. |
|---|---|
| License Number | 99031353A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Lafayette |
| State | IN |