The holder whose full name is Fodness, Cynthia Susan,come from Crown Point IN,hold the CSR-Prescriptive Authority license(NO.70000149B) which status is Expired.
| Name | Fodness, Cynthia Susan |
|---|---|
| License Number | 70000149B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Crown Point |
| State | IN |