The holder whose full name is Sandefur, Harriette Jane,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71001081B) which status is Expired.
Name | Sandefur, Harriette Jane |
---|---|
License Number | 71001081B |
License Type | CSR-Prescriptive Authority |
License Status | Expired |
City | Indianapolis |
State | IN |