The holder whose full name is Lain, Teresa Ann,come from Shelbyville IN,hold the CSR-Prescriptive Authority license(NO.71004493B) which status is Active.
| Name | Lain, Teresa Ann |
|---|---|
| License Number | 71004493B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Shelbyville |
| State | IN |