The holder whose full name is Wallace, Daniel L.,come from Anderson IN,hold the Pharmacy Tech In-Training license(NO.99041696A) which status is Superceded.
| Name | Wallace, Daniel L. |
|---|---|
| License Number | 99041696A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Anderson |
| State | IN |