The holder whose full name is Wallace, Ann Melody,come from Columbus IN,hold the Pharmacy Tech In-Training license(NO.99032467A) which status is Superceded.
| Name | Wallace, Ann Melody |
|---|---|
| License Number | 99032467A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Columbus |
| State | IN |