The holder whose full name is Sullivan, Ian Robert,come from Churubusco IN,hold the Pharmacy Tech In-Training license(NO.99051938A) which status is Expired.
| Name | Sullivan, Ian Robert |
|---|---|
| License Number | 99051938A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Churubusco |
| State | IN |