The holder whose full name is Henderson, Amanda Irene,come from Bloomington IN,hold the Pharmacy Tech In-Training license(NO.99016182A) which status is Superceded.
| Name | Henderson, Amanda Irene |
|---|---|
| License Number | 99016182A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Bloomington |
| State | IN |