The holder whose full name is Payne, Andrea,come from Mishawaka IN,hold the Pharmacy Tech In-Training license(NO.99023257A) which status is Superceded.
| Name | Payne, Andrea |
|---|---|
| License Number | 99023257A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |