The holder whose full name is Jaffe, JoAnn Florence,come from Bloomington IN,hold the CSR-Prescriptive Authority license(NO.71000795C) which status is Expired.
| Name | Jaffe, JoAnn Florence |
|---|---|
| License Number | 71000795C |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Bloomington |
| State | IN |