The holder whose full name is EDDY, LAVONNE MARIE,come from PERU IN,hold the APN Prescriptive Authority license(NO.71000301A) which status is Active.
| Name | EDDY, LAVONNE MARIE |
|---|---|
| License Number | 71000301A |
| License Type | APN Prescriptive Authority |
| License Status | Active |
| City | PERU |
| State | IN |