The holder whose full name is Thornton, Brian Wayne,come from Columbia City IN,hold the Pharmacy Tech In-Training license(NO.99032891A) which status is Superceded.
| Name | Thornton, Brian Wayne |
|---|---|
| License Number | 99032891A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Columbia City |
| State | IN |