The holder whose full name is Tatum, Brittany,come from Fort Wayne IN,hold the Pharmacy Tech In-Training license(NO.99059173A) which status is Superceded.
| Name | Tatum, Brittany |
|---|---|
| License Number | 99059173A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |