The holder whose full name is Fonyuy, Amanda Beth,come from Terre Haute IN,hold the Pharmacy Tech In-Training license(NO.99019572A) which status is Superceded.
| Name | Fonyuy, Amanda Beth |
|---|---|
| License Number | 99019572A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Terre Haute |
| State | IN |