The holder whose full name is Burnett, Lois Ann,come from Sellersburg IN,hold the CSR-Prescriptive Authority license(NO.71001391B) which status is Expired.
| Name | Burnett, Lois Ann |
|---|---|
| License Number | 71001391B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Sellersburg |
| State | IN |