The holder whose full name is MaKonnen, Edna,come from Bloomington IN,hold the Pharmacy Tech In-Training license(NO.99051046A) which status is Expired.
| Name | MaKonnen, Edna |
|---|---|
| License Number | 99051046A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Bloomington |
| State | IN |