The holder whose full name is Johnson, Alice,come from South Bend IN,hold the Pharmacy Tech In-Training license(NO.99011032A) which status is Superceded.
| Name | Johnson, Alice |
|---|---|
| License Number | 99011032A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | South Bend |
| State | IN |