The holder whose full name is Jacobs, Amber Nicole,come from Greenwood IN,hold the Pharmacy Tech In-Training license(NO.99030641A) which status is Superceded.
| Name | Jacobs, Amber Nicole |
|---|---|
| License Number | 99030641A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Greenwood |
| State | IN |