The holder whose full name is Ipsan, Charlotte Rose,come from Georgetown IN,hold the CSR-Prescriptive Authority license(NO.71002760B) which status is Expired.
| Name | Ipsan, Charlotte Rose |
|---|---|
| License Number | 71002760B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Georgetown |
| State | IN |