The holder whose full name is Haller, Alicia M.,come from Fort Wayne IN,hold the Pharmacy Tech In-Training license(NO.99051210A) which status is Superceded.
| Name | Haller, Alicia M. |
|---|---|
| License Number | 99051210A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |