The holder whose full name is Bailer, Jacqueline R,come from Angola IN,hold the Pharmacy Tech In-Training license(NO.99050111A) which status is Superceded.
| Name | Bailer, Jacqueline R |
|---|---|
| License Number | 99050111A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Angola |
| State | IN |