The holder whose full name is Henry, Amanda Estelle,come from Lafayette IN,hold the Pharmacy Intern license(NO.45014794A) which status is Superceded.
| Name | Henry, Amanda Estelle |
|---|---|
| License Number | 45014794A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Lafayette |
| State | IN |