The holder whose full name is Ehresman, David Lawrence,come from Lafayette IN,hold the Pharmacy Intern license(NO.45013688A) which status is Superceded.
| Name | Ehresman, David Lawrence |
|---|---|
| License Number | 45013688A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Lafayette |
| State | IN |