The holder whose full name is Lopez, Fabian A.,come from Osceola IN,hold the Pharmacy Tech In-Training license(NO.99058094A) which status is Expired.
| Name | Lopez, Fabian A. |
|---|---|
| License Number | 99058094A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Osceola |
| State | IN |