The holder whose full name is Backus, Ciara Danelle,come from Clarksville IN,hold the Pharmacy Tech In-Training license(NO.99051291A) which status is Superceded.
| Name | Backus, Ciara Danelle |
|---|---|
| License Number | 99051291A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Clarksville |
| State | IN |