The holder whose full name is Beach, Demitria Jane,come from Lafayette IN,hold the Pharmacy Tech In-Training license(NO.99024002A) which status is Expired.
| Name | Beach, Demitria Jane |
|---|---|
| License Number | 99024002A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Lafayette |
| State | IN |