The holder whose full name is Melevage, Lacee Carmen,come from Crawfordsville IN,hold the CSR-Prescriptive Authority license(NO.71002226B) which status is Active.
| Name | Melevage, Lacee Carmen |
|---|---|
| License Number | 71002226B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Crawfordsville |
| State | IN |