The holder whose full name is Hicks, Amy Gene,come from Bloomington IN,hold the Pharmacy Technician license(NO.67011463A) which status is Active.
| Name | Hicks, Amy Gene |
|---|---|
| License Number | 67011463A |
| License Type | Pharmacy Technician |
| License Status | Active |
| City | Bloomington |
| State | IN |