The holder whose full name is Davila, Antonio Jose,come from East Chicago IN,hold the Pharmacy Tech In-Training license(NO.99009419A) which status is Superceded.
| Name | Davila, Antonio Jose |
|---|---|
| License Number | 99009419A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | East Chicago |
| State | IN |