The holder whose full name is Shull, Anthony David,come from Kendallville IN,hold the Pharmacy Tech In-Training license(NO.99030602A) which status is Superceded.
| Name | Shull, Anthony David |
|---|---|
| License Number | 99030602A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Kendallville |
| State | IN |