The holder whose full name is Lakin, Colleen Jennifer,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71001960B) which status is Active.
| Name | Lakin, Colleen Jennifer |
|---|---|
| License Number | 71001960B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Indianapolis |
| State | IN |