The holder whose full name is Mattingly, Amanda Marie,come from Henryville IN,hold the Pharmacy Tech In-Training license(NO.99031591A) which status is Superceded.
| Name | Mattingly, Amanda Marie |
|---|---|
| License Number | 99031591A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Henryville |
| State | IN |