The holder whose full name is Farmer, Amanda Mae,come from Middletown IN,hold the Pharmacy Tech In-Training license(NO.99012203A) which status is Superceded.
| Name | Farmer, Amanda Mae |
|---|---|
| License Number | 99012203A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Middletown |
| State | IN |