The holder whose full name is Datish, Damon C.,come from Bloomington IN,hold the Pharmacy Tech In-Training license(NO.99040449A) which status is Superceded.
| Name | Datish, Damon C. |
|---|---|
| License Number | 99040449A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Bloomington |
| State | IN |