The holder whose full name is Thiemke, Amanda Ruth,come from Brownsburg IN,hold the Pharmacy Intern license(NO.45012470A) which status is Superceded.
| Name | Thiemke, Amanda Ruth |
|---|---|
| License Number | 45012470A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Brownsburg |
| State | IN |