The holder whose full name is Smith, Bethany Lauren,come from Elwood IN,hold the Pharmacy Tech In-Training license(NO.99048687A) which status is Superceded.
| Name | Smith, Bethany Lauren |
|---|---|
| License Number | 99048687A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Elwood |
| State | IN |