The holder whose full name is Mendoza, Alonzo Benjamin,come from Mishawaka IN,hold the Pharmacy Intern license(NO.45012987A) which status is Superceded.
| Name | Mendoza, Alonzo Benjamin |
|---|---|
| License Number | 45012987A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |