The holder whose full name is Lantz, Amanda Kay,come from Middlebury IN,hold the Pharmacy Tech In-Training license(NO.99036731A) which status is Superceded.
| Name | Lantz, Amanda Kay |
|---|---|
| License Number | 99036731A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Middlebury |
| State | IN |