The holder whose full name is Richie, Justin Shane,come from Austin IN,hold the Pharmacy Tech In-Training license(NO.99031884A) which status is Expired.
| Name | Richie, Justin Shane |
|---|---|
| License Number | 99031884A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Austin |
| State | IN |