The holder whose full name is Groninger, Amanda Lynne,come from Carmel IN,hold the Pharmacy Intern license(NO.45012002A) which status is Superceded.
| Name | Groninger, Amanda Lynne |
|---|---|
| License Number | 45012002A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Carmel |
| State | IN |