The holder whose full name is Lucid, Gennelle K,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71004017B) which status is Active.
| Name | Lucid, Gennelle K |
|---|---|
| License Number | 71004017B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Indianapolis |
| State | IN |