The holder whose full name is Smith, Brian,come from Fort Wayne IN,hold the Pharmacy Tech In-Training license(NO.99060450A) which status is Superceded.
| Name | Smith, Brian |
|---|---|
| License Number | 99060450A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |