The holder whose full name is Clark, Brandy Shan,come from Greenwood IN,hold the Pharmacy Tech In-Training license(NO.99034516A) which status is Superceded.
| Name | Clark, Brandy Shan |
|---|---|
| License Number | 99034516A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Greenwood |
| State | IN |