The holder whose full name is Bohlim, Janice Marie,come from Portage IN,hold the CSR-Prescriptive Authority license(NO.71005196B) which status is Active.
| Name | Bohlim, Janice Marie |
|---|---|
| License Number | 71005196B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Portage |
| State | IN |