The holder whose full name is Broadway, Bernard Lamar,come from South Bend IN,hold the Pharmacy Tech In-Training license(NO.99050579A) which status is Expired.
| Name | Broadway, Bernard Lamar |
|---|---|
| License Number | 99050579A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | South Bend |
| State | IN |