The holder whose full name is Mackowiak, David Kenneth,come from South Bend IN,hold the Pharmacy Tech In-Training license(NO.99023793A) which status is Superceded.
| Name | Mackowiak, David Kenneth |
|---|---|
| License Number | 99023793A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | South Bend |
| State | IN |