The holder whose full name is Wallace, Laura Nicole,come from Montezuma IN,hold the Pharmacy Tech In-Training license(NO.99034678A) which status is Expired.
| Name | Wallace, Laura Nicole |
|---|---|
| License Number | 99034678A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Montezuma |
| State | IN |