The holder whose full name is Hicks, Amy Gene,come from Bloomington IN,hold the Pharmacy Tech In-Training license(NO.99021969A) which status is Superceded.
| Name | Hicks, Amy Gene |
|---|---|
| License Number | 99021969A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Bloomington |
| State | IN |