The holder whose full name is Clark, Diana C.,come from Indianapolis IN,hold the Pharmacy Tech In-Training license(NO.99038312A) which status is Superceded.
| Name | Clark, Diana C. |
|---|---|
| License Number | 99038312A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |