The holder whose full name is Cottongim, Benjamin Daniel,come from Franklin IN,hold the Pharmacy Intern license(NO.45016579A) which status is Superceded.
| Name | Cottongim, Benjamin Daniel |
|---|---|
| License Number | 45016579A |
| License Type | Pharmacy Intern |
| License Status | Superceded |
| City | Franklin |
| State | IN |