The holder whose full name is Gregory, Nathan R.,come from Columbia City IN,hold the Pharmacy Tech In-Training license(NO.99053930A) which status is Superceded.
| Name | Gregory, Nathan R. |
|---|---|
| License Number | 99053930A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Columbia City |
| State | IN |