The holder whose full name is Nygren, Debora Ann,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71001404B) which status is Current/Not Practicing.
| Name | Nygren, Debora Ann |
|---|---|
| License Number | 71001404B |
| License Type | CSR-Prescriptive Authority |
| License Status | Current/Not Practicing |
| City | Indianapolis |
| State | IN |