The holder whose full name is Black, Dorothy Yvonne,come from Mount Vernon IN,hold the Pharmacy Technician license(NO.67017052A) which status is Expired.
| Name | Black, Dorothy Yvonne |
|---|---|
| License Number | 67017052A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Mount Vernon |
| State | IN |