The holder whose full name is Long, ShaVonna, L,come from Indianapolis IN,hold the Pharmacy Technician license(NO.67021663A) which status is Active.
| Name | Long, ShaVonna, L |
|---|---|
| License Number | 67021663A |
| License Type | Pharmacy Technician |
| License Status | Active |
| City | Indianapolis |
| State | IN |