The holder whose full name is Dannhausen, Jane Ellen,come from Fort Wayne IN,hold the APN Prescriptive Authority license(NO.71001639A) which status is Active.
| Name | Dannhausen, Jane Ellen |
|---|---|
| License Number | 71001639A |
| License Type | APN Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |