The holder whose full name is Becktell, Leia Ann,come from Fort Wayne IN,hold the APN Prescriptive Authority license(NO.71005080A) which status is Active.
Name | Becktell, Leia Ann |
---|---|
License Number | 71005080A |
License Type | APN Prescriptive Authority |
License Status | Active |
City | Fort Wayne |
State | IN |