The holder whose full name is Bauer, Diane Kathleen,come from Fort Wayne IN,hold the Pharmacy Technician license(NO.67002499A) which status is Active.
| Name | Bauer, Diane Kathleen |
|---|---|
| License Number | 67002499A |
| License Type | Pharmacy Technician |
| License Status | Active |
| City | Fort Wayne |
| State | IN |