The holder whose full name is Shipe, Dexter Eugene,come from Woodburn IN,hold the Pharmacy Tech In-Training license(NO.99028570A) which status is Superceded.
| Name | Shipe, Dexter Eugene |
|---|---|
| License Number | 99028570A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Woodburn |
| State | IN |