The holder whose full name is Basham, Amber Lynn,come from Rochester IN,hold the Pharmacy Tech In-Training license(NO.99054996A) which status is Superceded.
| Name | Basham, Amber Lynn |
|---|---|
| License Number | 99054996A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Rochester |
| State | IN |