The holder whose full name is Mofield, Carla Lynn,come from Boonville IN,hold the Pharmacy Tech In-Training license(NO.99010752A) which status is Superceded.
| Name | Mofield, Carla Lynn |
|---|---|
| License Number | 99010752A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Boonville |
| State | IN |