The holder whose full name is Penn, Leah Lou,come from Lafayette IN,hold the Pharmacy Tech In-Training license(NO.99037789A) which status is Superceded.
| Name | Penn, Leah Lou |
|---|---|
| License Number | 99037789A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Lafayette |
| State | IN |