The holder whose full name is Ingram, Alyssa Helene,come from Crown Point IN,hold the Pharmacy Tech In-Training license(NO.99033919A) which status is Superceded.
| Name | Ingram, Alyssa Helene |
|---|---|
| License Number | 99033919A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Crown Point |
| State | IN |