The holder whose full name is Wilson, Austin Manogue,come from Pendleton IN,hold the Pharmacy Tech In-Training license(NO.99042055A) which status is Superceded.
| Name | Wilson, Austin Manogue |
|---|---|
| License Number | 99042055A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Pendleton |
| State | IN |