The holder whose full name is Becktell, Leia Ann,come from Fort Wayne IN,hold the CSR-Prescriptive Authority license(NO.71005080B) which status is Active.
Name | Becktell, Leia Ann |
---|---|
License Number | 71005080B |
License Type | CSR-Prescriptive Authority |
License Status | Active |
City | Fort Wayne |
State | IN |