The holder whose full name is FOX, AMANDA,come from KOUTS IN,hold the Qualified Medication Aide license(NO.QMA0000105) which status is Expired.
| Name | FOX, AMANDA |
|---|---|
| License Number | QMA0000105 |
| License Type | Qualified Medication Aide |
| License Status | Expired |
| City | KOUTS |
| State | IN |