The holder whose full name is Tackett, Donna Jean,come from Huntington IN,hold the Pharmacy Tech In-Training license(NO.99017318A) which status is Superceded.
| Name | Tackett, Donna Jean |
|---|---|
| License Number | 99017318A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Huntington |
| State | IN |