The holder whose full name is Lewallen, Amanda Brooke,come from Zionsville IN,hold the Pharmacy Tech In-Training license(NO.99014174A) which status is Superceded.
| Name | Lewallen, Amanda Brooke |
|---|---|
| License Number | 99014174A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Zionsville |
| State | IN |