Indiana
Professional Licensing Agency
Tony Michael Wallace
Pharmacy Technician In-Training
License number
99021043A
Date granted
04/27/2006
Date expires
04/27/2007
Class
Pharmacy Technician In-Training
Status
Expired
Address
Fort Wayne IN 46808
indianalicensing.org
ID 8317918
LAST UPDATED 2024-03-28 11:50:45 UTC
LAST UPDATED 2024-03-28 11:50:45 UTC
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