The holder whose full name is Bauer, Jennifer Suzanne,come from Granger IN,hold the CSR-Prescriptive Authority license(NO.71001701B) which status is Active.
| Name | Bauer, Jennifer Suzanne |
|---|---|
| License Number | 71001701B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Granger |
| State | IN |