The holder whose full name is Horine, Dolores A,come from WABASH IN,hold the Pharmacy Tech In-Training license(NO.99021240A) which status is Superceded.
| Name | Horine, Dolores A |
|---|---|
| License Number | 99021240A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | WABASH |
| State | IN |