The holder whose full name is Detrick, Ariel S.,come from Winchester IN,hold the Pharmacy Tech In-Training license(NO.99040628A) which status is Superceded.
Name | Detrick, Ariel S. |
---|---|
License Number | 99040628A |
License Type | Pharmacy Tech In-Training |
License Status | Superceded |
City | Winchester |
State | IN |