The holder whose full name is Hansen, Anthony Craig,come from Lafayette IN,hold the Pharmacy Tech In-Training license(NO.99011423A) which status is Superceded.
| Name | Hansen, Anthony Craig |
|---|---|
| License Number | 99011423A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Lafayette |
| State | IN |