The holder whose full name is Johnson, Jennifer E.,come from Bloomington IN,hold the Pharmacy Tech In-Training license(NO.99059639A) which status is Superceded.
| Name | Johnson, Jennifer E. |
|---|---|
| License Number | 99059639A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Bloomington |
| State | IN |