The holder whose full name is Vivelo, Eugene J,come from Columbus IN,hold the Pharmacy Tech In-Training license(NO.99056846A) which status is Superceded.
| Name | Vivelo, Eugene J |
|---|---|
| License Number | 99056846A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Columbus |
| State | IN |