The holder whose full name is Leese, Connie Sue,come from KOKOMO IN,hold the CSR-Prescriptive Authority license(NO.70000185B) which status is Active.
| Name | Leese, Connie Sue |
|---|---|
| License Number | 70000185B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | KOKOMO |
| State | IN |