The holder whose full name is Costa, Amanda De Souza,come from Indianapolis IN,hold the Pharmacy Tech In-Training license(NO.99033972A) which status is Superceded.
| Name | Costa, Amanda De Souza |
|---|---|
| License Number | 99033972A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |