The holder whose full name is DeTalente, Alyssa Marie,come from Evansville IN,hold the Pharmacy Tech In-Training license(NO.99034394A) which status is Superceded.
| Name | DeTalente, Alyssa Marie |
|---|---|
| License Number | 99034394A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Evansville |
| State | IN |