The holder whose full name is Pollert, Ian William,come from Avon IN,hold the Pharmacy Tech In-Training license(NO.99022906A) which status is Superceded.
| Name | Pollert, Ian William |
|---|---|
| License Number | 99022906A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Avon |
| State | IN |