The holder whose full name is Gonzalez, Andrea O.,come from Lake Station IN,hold the Pharmacy Tech In-Training license(NO.99047558A) which status is Superceded.
| Name | Gonzalez, Andrea O. |
|---|---|
| License Number | 99047558A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Lake Station |
| State | IN |