The holder whose full name is Nelson, Dawn Marie,come from Valparaiso IN,hold the CSR-Prescriptive Authority license(NO.70000112B) which status is Expired Non-Renewable.
| Name | Nelson, Dawn Marie |
|---|---|
| License Number | 70000112B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired Non-Renewable |
| City | Valparaiso |
| State | IN |