The holder whose full name is Clark, Theresa Ann,come from Crown Point IN,hold the Pharmacy Technician license(NO.67003278A) which status is Expired.
| Name | Clark, Theresa Ann |
|---|---|
| License Number | 67003278A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Crown Point |
| State | IN |