The holder whose full name is Bak, Ashley D.,come from Fort Wayne IN,hold the Pharmacy Technician license(NO.67016427A) which status is Expired.
| Name | Bak, Ashley D. |
|---|---|
| License Number | 67016427A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |