The holder whose full name is Fathauer, Lora Marie,come from Columbus IN,hold the APN Prescriptive Authority license(NO.71000213A) which status is Active.
| Name | Fathauer, Lora Marie |
|---|---|
| License Number | 71000213A |
| License Type | APN Prescriptive Authority |
| License Status | Active |
| City | Columbus |
| State | IN |