The holder whose full name is Owens, Lisa Diane,come from Kokomo IN,hold the CSR-Prescriptive Authority license(NO.71001815B) which status is Active.
| Name | Owens, Lisa Diane |
|---|---|
| License Number | 71001815B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Kokomo |
| State | IN |