The holder whose full name is Newgent, Amanda Jo,come from West Lafayette IN,hold the Pharmacy Tech In-Training license(NO.99012198A) which status is Superceded.
| Name | Newgent, Amanda Jo |
|---|---|
| License Number | 99012198A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | West Lafayette |
| State | IN |