The holder whose full name is Pettis, Donna Marie,come from La Porte IN,hold the Pharmacy Technician license(NO.67003109A) which status is Expired.
| Name | Pettis, Donna Marie |
|---|---|
| License Number | 67003109A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | La Porte |
| State | IN |