The holder whose full name is Clark, Amanda Blaine,come from Goshen IN,hold the Pharmacy Tech In-Training license(NO.99026501A) which status is Expired.
| Name | Clark, Amanda Blaine |
|---|---|
| License Number | 99026501A |
| License Type | Pharmacy Tech In-Training |
| License Status | Expired |
| City | Goshen |
| State | IN |