The holder whose full name is Basham, Amanda Paige,come from Bargersville IN,hold the Pharmacy Tech In-Training license(NO.99057820A) which status is Expired.
| Name | Basham, Amanda Paige |
|---|---|
| License Number | 99057820A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Bargersville |
| State | IN |