The holder whose full name is Bada, Bengela Ann,come from Fort Wayne IN,hold the Pharmacy Tech In-Training license(NO.99010263A) which status is Superceded.
Name | Bada, Bengela Ann |
---|---|
License Number | 99010263A |
License Type | Pharmacy Tech In-Training |
License Status | Superceded |
City | Fort Wayne |
State | IN |