The holder whose full name is Mendoza, Dale,come from Munster IN,hold the Pharmacy Tech In-Training license(NO.99011278A) which status is Expired.
| Name | Mendoza, Dale |
|---|---|
| License Number | 99011278A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Munster |
| State | IN |