The holder whose full name is Fair, Cody R,come from Shelbyville IN,hold the Pharmacy Tech In-Training license(NO.99013301A) which status is Superceded.
| Name | Fair, Cody R |
|---|---|
| License Number | 99013301A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Shelbyville |
| State | IN |