The holder whose full name is Szabo, Jennifer Lynnette,come from WESTVILLE IN,hold the CSR-Prescriptive Authority license(NO.70000100B) which status is Expired.
Name | Szabo, Jennifer Lynnette |
---|---|
License Number | 70000100B |
License Type | CSR-Prescriptive Authority |
License Status | Expired |
City | WESTVILLE |
State | IN |