The holder whose full name is Lecea, Lori E.,come from Dyer IN,hold the CSR-Prescriptive Authority license(NO.72000090B) which status is Active.
| Name | Lecea, Lori E. |
|---|---|
| License Number | 72000090B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Dyer |
| State | IN |