The holder whose full name is Willis, Amanda Lynn,come from Westville IN,hold the Pharmacy Tech In-Training license(NO.99056141A) which status is Superceded.
| Name | Willis, Amanda Lynn |
|---|---|
| License Number | 99056141A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Westville |
| State | IN |