The holder whose full name is Pangallo, Georgianne,come from Seymour IN,hold the CSR-Prescriptive Authority license(NO.71003618B) which status is Active.
| Name | Pangallo, Georgianne |
|---|---|
| License Number | 71003618B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Seymour |
| State | IN |