The holder whose full name is Bruin, Brent Michael,come from Fort Wayne IN,hold the Pharmacy Tech In-Training license(NO.99018320A) which status is Superceded.
| Name | Bruin, Brent Michael |
|---|---|
| License Number | 99018320A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |