The holder whose full name is Futa, Matthew David,come from Granger IN,hold the Pharmacy Technician license(NO.67005969A) which status is Expired.
| Name | Futa, Matthew David |
|---|---|
| License Number | 67005969A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Granger |
| State | IN |