The holder whose full name is Walden, Shannon D.,come from Coal City IN,hold the Pharmacy Tech In-Training license(NO.99055587A) which status is Superceded.
| Name | Walden, Shannon D. |
|---|---|
| License Number | 99055587A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Coal City |
| State | IN |