The holder whose full name is Kelly, Holly R.,come from Granger IN,hold the APN Prescriptive Authority license(NO.71004121A) which status is Active.
| Name | Kelly, Holly R. |
|---|---|
| License Number | 71004121A |
| License Type | APN Prescriptive Authority |
| License Status | Active |
| City | Granger |
| State | IN |