The holder whose full name is Black, Dorothy Yvonne,come from Mount Vernon IN,hold the Pharmacy Tech In-Training license(NO.99040930A) which status is Superceded.
| Name | Black, Dorothy Yvonne |
|---|---|
| License Number | 99040930A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Mount Vernon |
| State | IN |