The holder whose full name is Clark, Amanda Jo,come from Franklin IN,hold the Pharmacy Tech In-Training license(NO.99039696A) which status is Superceded.
| Name | Clark, Amanda Jo |
|---|---|
| License Number | 99039696A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Franklin |
| State | IN |