The holder whose full name is Clark, Kelly Obrian,come from La Porte IN,hold the CSR-Prescriptive Authority license(NO.71000435B) which status is Active.
| Name | Clark, Kelly Obrian |
|---|---|
| License Number | 71000435B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | La Porte |
| State | IN |