The holder whose full name is Burns, Carolyn Marie,come from Terre Haute IN,hold the APN Prescriptive Authority license(NO.70000217A) which status is Active.
| Name | Burns, Carolyn Marie |
|---|---|
| License Number | 70000217A |
| License Type | APN Prescriptive Authority |
| License Status | Active |
| City | Terre Haute |
| State | IN |