The holder whose full name is Heric, Barbara Y.,come from La Porte IN,hold the CSR-Prescriptive Authority license(NO.71001524B) which status is Active.
| Name | Heric, Barbara Y. |
|---|---|
| License Number | 71001524B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | La Porte |
| State | IN |