The holder whose full name is Basye, Erika Renee,come from South Bend IN,hold the Pharmacy Tech In-Training license(NO.99010429A) which status is Superceded.
| Name | Basye, Erika Renee |
|---|---|
| License Number | 99010429A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | South Bend |
| State | IN |