The holder whose full name is Cooper, Jacqueline Marie,come from Petersburg IN,hold the Pharmacy Technician license(NO.67011430A) which status is Expired.
| Name | Cooper, Jacqueline Marie |
|---|---|
| License Number | 67011430A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Petersburg |
| State | IN |