The holder whose full name is Lewallen, Amanda Brooke,come from Zionsville IN,hold the Pharmacy Intern license(NO.45015913A) which status is Expired.
| Name | Lewallen, Amanda Brooke |
|---|---|
| License Number | 45015913A |
| License Type | Pharmacy Intern |
| License Status | Expired |
| City | Zionsville |
| State | IN |