The holder whose full name is Barrett, Jacob David,come from Indianpolis IN,hold the Pharmacy Technician license(NO.67010820A) which status is Suspended.
| Name | Barrett, Jacob David |
|---|---|
| License Number | 67010820A |
| License Type | Pharmacy Technician |
| License Status | Suspended |
| City | Indianpolis |
| State | IN |