The holder whose full name is Waller, Shannon Lee,come from Morgantown IN,hold the Pharmacy Tech In-Training license(NO.99019020A) which status is Expired.
| Name | Waller, Shannon Lee |
|---|---|
| License Number | 99019020A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Morgantown |
| State | IN |