The holder whose full name is Jacox, Cynthia Ann,come from Gary IN,hold the Pharmacy Tech In-Training license(NO.99022625A) which status is Superceded.
| Name | Jacox, Cynthia Ann |
|---|---|
| License Number | 99022625A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Gary |
| State | IN |