The holder whose full name is Paul, Courtney Jae,come from Shelbyville IN,hold the Pharmacy Tech In-Training license(NO.99055558A) which status is Superceded.
| Name | Paul, Courtney Jae |
|---|---|
| License Number | 99055558A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Shelbyville |
| State | IN |