The holder whose full name is Deaner, Amanda C.,come from Michigan City IN,hold the Pharmacy Tech In-Training license(NO.99059323A) which status is Superceded.
| Name | Deaner, Amanda C. |
|---|---|
| License Number | 99059323A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Michigan City |
| State | IN |