The holder whose full name is Green, Julie Lynn,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71003884B) which status is Expired.
| Name | Green, Julie Lynn |
|---|---|
| License Number | 71003884B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Indianapolis |
| State | IN |