The holder whose full name is Horst, Amanda Ellen,come from Vincennes IN,hold the CSR-Prescriptive Authority license(NO.71003554B) which status is Active.
| Name | Horst, Amanda Ellen |
|---|---|
| License Number | 71003554B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Vincennes |
| State | IN |