The holder whose full name is Mansfield, Lucas Todd,come from Battle Ground IN,hold the Pharmacy Intern license(NO.45014319A) which status is Superceded.
| Name | Mansfield, Lucas Todd |
|---|---|
| License Number | 45014319A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Battle Ground |
| State | IN |