The holder whose full name is Montgomery, Alta W.,come from INDIANAPOLIS IN,hold the Pharmacy Tech In-Training license(NO.99052835A) which status is Superceded.
| Name | Montgomery, Alta W. |
|---|---|
| License Number | 99052835A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | INDIANAPOLIS |
| State | IN |