The holder whose full name is Smith, Donald Carl,come from Woodburn IN,hold the Pharmacy Tech In-Training license(NO.99035827A) which status is Superceded.
| Name | Smith, Donald Carl |
|---|---|
| License Number | 99035827A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Woodburn |
| State | IN |