The holder whose full name is Booth, Jennifer Lynn,come from Fort Wayne IN,hold the Pharmacy Tech In-Training license(NO.99056237A) which status is Superceded.
| Name | Booth, Jennifer Lynn |
|---|---|
| License Number | 99056237A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |