The holder whose full name is Long, Jennifer Richardson,come from Bloomington IN,hold the CSR-Prescriptive Authority license(NO.71001198B) which status is Expired.
| Name | Long, Jennifer Richardson |
|---|---|
| License Number | 71001198B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Bloomington |
| State | IN |