The holder whose full name is Fanning, Lana Rae,come from Fremont IN,hold the Pharmacy Tech In-Training license(NO.99031656A) which status is Expired.
| Name | Fanning, Lana Rae |
|---|---|
| License Number | 99031656A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Fremont |
| State | IN |