The holder whose full name is Back, Kelsey Suzanne,come from North Vernon IN,hold the Pharmacy Tech In-Training license(NO.99059455A) which status is Superceded.
| Name | Back, Kelsey Suzanne |
|---|---|
| License Number | 99059455A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | North Vernon |
| State | IN |