The holder whose full name is Prater, Jessica L.,come from Fort Wayne IN,hold the Pharmacy Technician license(NO.67023774A) which status is Expired.
| Name | Prater, Jessica L. |
|---|---|
| License Number | 67023774A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |