The holder whose full name is POWELL, JAN LEE,come from MADISON IN,hold the APN Prescriptive Authority license(NO.71000816A) which status is Expired.
| Name | POWELL, JAN LEE |
|---|---|
| License Number | 71000816A |
| License Type | APN Prescriptive Authority |
| License Status | Expired |
| City | MADISON |
| State | IN |