The holder whose full name is Antonelli, Leslie Marie,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71002959B) which status is Active.
| Name | Antonelli, Leslie Marie |
|---|---|
| License Number | 71002959B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Indianapolis |
| State | IN |