The holder whose full name is Fields, Deanna Lea,come from Vincennes IN,hold the CSR-Prescriptive Authority license(NO.71002578B) which status is Active.
| Name | Fields, Deanna Lea |
|---|---|
| License Number | 71002578B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Vincennes |
| State | IN |