The holder whose full name is Beach Jr., Charles Ray,come from Muncie IN,hold the Pharmacy Tech In-Training license(NO.99046957A) which status is Superceded.
| Name | Beach Jr., Charles Ray |
|---|---|
| License Number | 99046957A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Muncie |
| State | IN |