The holder whose full name is Burge, Amanda Lynn,come from Lafayette IN,hold the Pharmacy Tech In-Training license(NO.99019255A) which status is Expired.
| Name | Burge, Amanda Lynn |
|---|---|
| License Number | 99019255A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Lafayette |
| State | IN |