The holder whose full name is DeLong, Kelly S.,come from Fort Wayne IN,hold the Pharmacy Tech In-Training license(NO.99055790A) which status is Expired.
| Name | DeLong, Kelly S. |
|---|---|
| License Number | 99055790A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |