The holder whose full name is Payne, Jared Richard,come from Terre Haute IN,hold the Pharmacy Technician license(NO.67005904A) which status is Expired.
| Name | Payne, Jared Richard |
|---|---|
| License Number | 67005904A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Terre Haute |
| State | IN |