The holder whose full name is Baker, Juanita V,come from Portage IN,hold the Pharmacy Technician license(NO.67005340A) which status is Expired.
| Name | Baker, Juanita V |
|---|---|
| License Number | 67005340A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Portage |
| State | IN |