The holder whose full name is Souder, Derek,come from Anderson IN,hold the Pharmacy Tech In-Training license(NO.99028842A) which status is Superceded.
| Name | Souder, Derek |
|---|---|
| License Number | 99028842A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Anderson |
| State | IN |