The holder whose full name is Staples, Clarence Otto,come from Indianapolis IN,hold the Pharmacy Technician license(NO.67007639A) which status is Expired.
| Name | Staples, Clarence Otto |
|---|---|
| License Number | 67007639A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |