The holder whose full name is Smith, Adam Tyler,come from West Lafayette IN,hold the Pharmacy Tech In-Training license(NO.99046473A) which status is Superceded.
| Name | Smith, Adam Tyler |
|---|---|
| License Number | 99046473A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | West Lafayette |
| State | IN |