The holder whose full name is Mack, Amanda LaRay,come from Elkhart IN,hold the Pharmacy Tech In-Training license(NO.99018175A) which status is Superceded.
| Name | Mack, Amanda LaRay |
|---|---|
| License Number | 99018175A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Elkhart |
| State | IN |