The holder whose full name is Prusinski, Beth Ann,come from Elwood IN,hold the CSR-Prescriptive Authority license(NO.71002871B) which status is Active.
| Name | Prusinski, Beth Ann |
|---|---|
| License Number | 71002871B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Elwood |
| State | IN |