The holder whose full name is Porter, Brandie Lynn,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.72000059B) which status is Expired.
| Name | Porter, Brandie Lynn |
|---|---|
| License Number | 72000059B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Indianapolis |
| State | IN |