The holder whose full name is Vandeventer, Douglas Eugene,come from Bloomington IN,hold the Pharmacy Tech In-Training license(NO.99009903A) which status is Superceded.
| Name | Vandeventer, Douglas Eugene |
|---|---|
| License Number | 99009903A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Bloomington |
| State | IN |