The holder whose full name is Coalson, Antoinette Sue,come from New Haven IN,hold the CSR-Prescriptive Authority license(NO.71004495B) which status is Active.
| Name | Coalson, Antoinette Sue |
|---|---|
| License Number | 71004495B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | New Haven |
| State | IN |