The holder whose full name is Sparks, Katlyn Breanna,come from Greenville IN,hold the Pharmacy Tech In-Training license(NO.99030576A) which status is Superceded.
| Name | Sparks, Katlyn Breanna |
|---|---|
| License Number | 99030576A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Greenville |
| State | IN |