The holder whose full name is Moreth, Amanda Lea,come from Crown Point IN,hold the Pharmacy Tech In-Training license(NO.99018257A) which status is Superceded.
| Name | Moreth, Amanda Lea |
|---|---|
| License Number | 99018257A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Crown Point |
| State | IN |