The holder whose full name is Harris, Anitrea Tyshe,come from INDIANAPOLIS IN,hold the Pharmacy Tech In-Training license(NO.99014030A) which status is Superceded.
| Name | Harris, Anitrea Tyshe |
|---|---|
| License Number | 99014030A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | INDIANAPOLIS |
| State | IN |