The holder whose full name is Callicoat, Anita,come from Newburgh IN,hold the CSR-Prescriptive Authority license(NO.71002486B) which status is Expired.
| Name | Callicoat, Anita |
|---|---|
| License Number | 71002486B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Newburgh |
| State | IN |