The holder whose full name is McDaniel, Elizabeth Thies,come from Bloomington IN,hold the CSR-Prescriptive Authority license(NO.72000061B) which status is Active.
| Name | McDaniel, Elizabeth Thies |
|---|---|
| License Number | 72000061B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Bloomington |
| State | IN |