The holder whose full name is Carlson, Alice Louise,come from Madison IN,hold the CSR-Prescriptive Authority license(NO.71000362B) which status is Active.
| Name | Carlson, Alice Louise |
|---|---|
| License Number | 71000362B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Madison |
| State | IN |