The holder whose full name is Basham, Heather Lynn,come from Indianapolis IN,hold the Pharmacy Technician license(NO.67006249A) which status is Expired.
| Name | Basham, Heather Lynn |
|---|---|
| License Number | 67006249A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |