The holder whose full name is Incollingo, Kira Sue,come from Bloomington IN,hold the Pharmacy Tech In-Training license(NO.99024331A) which status is Superceded.
| Name | Incollingo, Kira Sue |
|---|---|
| License Number | 99024331A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Bloomington |
| State | IN |