The holder whose full name is Taylor, Amanda Sue,come from Avon IN,hold the Pharmacy Tech In-Training license(NO.99048704A) which status is Superceded.
| Name | Taylor, Amanda Sue |
|---|---|
| License Number | 99048704A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Avon |
| State | IN |