The holder whose full name is Stidham, Amanda Lynn,come from New Haven IN,hold the Pharmacy Tech In-Training license(NO.99029712A) which status is Superceded.
| Name | Stidham, Amanda Lynn |
|---|---|
| License Number | 99029712A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | New Haven |
| State | IN |