The holder whose full name is Sampsel, Cecilia Jean,come from Valparaiso IN,hold the CSR-Prescriptive Authority license(NO.71000106B) which status is Expired.
| Name | Sampsel, Cecilia Jean |
|---|---|
| License Number | 71000106B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Valparaiso |
| State | IN |