The holder whose full name is LEWIS, ANITA MARIE,come from Portland IN,hold the APN Prescriptive Authority license(NO.71000578A) which status is Expired.
| Name | LEWIS, ANITA MARIE |
|---|---|
| License Number | 71000578A |
| License Type | APN Prescriptive Authority |
| License Status | Expired |
| City | Portland |
| State | IN |