The holder whose full name is Shields, Andrea Jo,come from Dunkirk IN,hold the Pharmacy Tech In-Training license(NO.99058008A) which status is Superceded.
| Name | Shields, Andrea Jo |
|---|---|
| License Number | 99058008A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Dunkirk |
| State | IN |