The holder whose full name is Smith, Jenna Layne,come from Bloomfield IN,hold the Pharmacy Tech In-Training license(NO.99010639A) which status is Superceded.
| Name | Smith, Jenna Layne |
|---|---|
| License Number | 99010639A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Bloomfield |
| State | IN |