The holder whose full name is Self, Rosetta,come from French Lick IN,hold the Pharmacy Tech In-Training license(NO.99058856A) which status is Superceded.
| Name | Self, Rosetta |
|---|---|
| License Number | 99058856A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | French Lick |
| State | IN |