The holder whose full name is Tatum, Gail P,come from Lake Village IN,hold the Pharmacy Tech In-Training license(NO.99029913A) which status is Superceded.
| Name | Tatum, Gail P |
|---|---|
| License Number | 99029913A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Lake Village |
| State | IN |