The holder whose full name is Waller, Judith Ellen,come from Lynn IN,hold the Pharmacy Tech In-Training license(NO.99031362A) which status is Superceded.
| Name | Waller, Judith Ellen |
|---|---|
| License Number | 99031362A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Lynn |
| State | IN |