The holder whose full name is Lewis, Andrea Lauren,come from Angola IN,hold the Pharmacy Tech In-Training license(NO.99035678A) which status is Superceded.
| Name | Lewis, Andrea Lauren |
|---|---|
| License Number | 99035678A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Angola |
| State | IN |