The holder whose full name is Johnson, Lisa Sue,come from Brazil IN,hold the CSR-Prescriptive Authority license(NO.71003267B) which status is Expired.
| Name | Johnson, Lisa Sue |
|---|---|
| License Number | 71003267B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Brazil |
| State | IN |