The holder whose full name is Sullivan, Amanda Marie,come from Corydon IN,hold the Pharmacy Intern license(NO.45016258A) which status is Superceded.
| Name | Sullivan, Amanda Marie |
|---|---|
| License Number | 45016258A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Corydon |
| State | IN |