The holder whose full name is Johnston, Dianne M.,come from Terre Haute IN,hold the CSR-Prescriptive Authority license(NO.71002829B) which status is Expired.
| Name | Johnston, Dianne M. |
|---|---|
| License Number | 71002829B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Terre Haute |
| State | IN |