The holder whose full name is Way, Amanda Jean,come from Lebanon IN,hold the Pharmacy Tech In-Training license(NO.99054772A) which status is Superceded.
| Name | Way, Amanda Jean |
|---|---|
| License Number | 99054772A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Lebanon |
| State | IN |