The holder whose full name is Sullivan, Carrie Lynn,come from Franklin IN,hold the CSR-Prescriptive Authority license(NO.71004169B) which status is Active.
| Name | Sullivan, Carrie Lynn |
|---|---|
| License Number | 71004169B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Franklin |
| State | IN |