The holder whose full name is Wallen, Samantha J.,come from Boonville IN,hold the Qualified Medication Aide license(NO.QMA1400044) which status is Active.
| Name | Wallen, Samantha J. |
|---|---|
| License Number | QMA1400044 |
| License Type | Qualified Medication Aide |
| License Status | Active |
| City | Boonville |
| State | IN |