The holder whose full name is Lewis, Angela Kay,come from Granger IN,hold the Pharmacy Tech In-Training license(NO.99013974A) which status is Superceded.
| Name | Lewis, Angela Kay |
|---|---|
| License Number | 99013974A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Granger |
| State | IN |