The holder whose full name is Derexson, Lucy Leona,come from Anderson IN,hold the Pharmacy Tech In-Training license(NO.99011384A) which status is Superceded.
| Name | Derexson, Lucy Leona |
|---|---|
| License Number | 99011384A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Anderson |
| State | IN |