The holder whose full name is Smith, Amanda Renae,come from WHEATFIELD IN,hold the Pharmacy Tech In-Training license(NO.99012095A) which status is Superceded.
| Name | Smith, Amanda Renae |
|---|---|
| License Number | 99012095A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | WHEATFIELD |
| State | IN |