The holder whose full name is Jasek, Melanie M.,come from Griffith IN,hold the Pharmacy Technician license(NO.67011061A) which status is Revoked.
| Name | Jasek, Melanie M. |
|---|---|
| License Number | 67011061A |
| License Type | Pharmacy Technician |
| License Status | Revoked |
| City | Griffith |
| State | IN |