The holder whose full name is Vogel, Tara Leah,come from North Manchester IN,hold the CSR-Prescriptive Authority license(NO.71004675B) which status is Active.
| Name | Vogel, Tara Leah |
|---|---|
| License Number | 71004675B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | North Manchester |
| State | IN |