The holder whose full name is Vivares, Imelda L.,come from Rushville IN,hold the Pharmacy Technician license(NO.67020763A) which status is Active.
| Name | Vivares, Imelda L. |
|---|---|
| License Number | 67020763A |
| License Type | Pharmacy Technician |
| License Status | Active |
| City | Rushville |
| State | IN |