The holder whose full name is Sullivan, Amanda Marie,come from Corydon IN,hold the Pharmacy Tech In-Training license(NO.99014426A) which status is Superceded.
| Name | Sullivan, Amanda Marie |
|---|---|
| License Number | 99014426A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Corydon |
| State | IN |