The holder whose full name is Watson, Amanda Dianne,come from Mishawaka IN,hold the Pharmacy Tech In-Training license(NO.99014228A) which status is Superceded.
| Name | Watson, Amanda Dianne |
|---|---|
| License Number | 99014228A |
| License Type | Pharmacy Tech In-Training |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |