The holder whose full name is Logan, Nicholas Brooks,come from Laporte IN,hold the Pharmacy Tech In-Training license(NO.99042616A) which status is Superceded.
| Name | Logan, Nicholas Brooks |
|---|---|
| License Number | 99042616A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Laporte |
| State | IN |