The holder whose full name is Rose, Amanda Rebekah,come from La Porte IN,hold the Pharmacy Intern license(NO.45013137A) which status is Superceded.
| Name | Rose, Amanda Rebekah |
|---|---|
| License Number | 45013137A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | La Porte |
| State | IN |