The holder whose full name is Matthews, Diana,come from Cedar Lake IN,hold the Pharmacy Tech In-Training license(NO.99013612A) which status is Superceded.
| Name | Matthews, Diana |
|---|---|
| License Number | 99013612A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Cedar Lake |
| State | IN |