The holder whose full name is Van Hattum, Carla Rae,come from Plymouth IN,hold the Pharmacy Tech In-Training license(NO.99025977A) which status is Superceded.
| Name | Van Hattum, Carla Rae |
|---|---|
| License Number | 99025977A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Plymouth |
| State | IN |