The holder whose full name is Grannan, Mark Allan,come from Indianapolis IN,hold the Pharmacy Tech In-Training license(NO.99042892A) which status is Superceded.
| Name | Grannan, Mark Allan |
|---|---|
| License Number | 99042892A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |