The holder whose full name is Collins, Lethia A,come from Sellersburg IN,hold the CSR-Prescriptive Authority license(NO.71000612B) which status is Active.
| Name | Collins, Lethia A |
|---|---|
| License Number | 71000612B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Sellersburg |
| State | IN |