The holder whose full name is Clark, Alyssa Michelle,come from MUNCIE IN,hold the Pharmacy Tech In-Training license(NO.99030196A) which status is Superceded.
| Name | Clark, Alyssa Michelle |
|---|---|
| License Number | 99030196A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | MUNCIE |
| State | IN |