The holder whose full name is Minich, Kimberly Ann,come from La Porte IN,hold the CSR-Prescriptive Authority license(NO.71003346B) which status is Active.
| Name | Minich, Kimberly Ann |
|---|---|
| License Number | 71003346B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | La Porte |
| State | IN |