The holder whose full name is Phillips-Black, Leah D.,come from Sellersburg IN,hold the CSR-Prescriptive Authority license(NO.71001612B) which status is Current/Not Practicing.
| Name | Phillips-Black, Leah D. |
|---|---|
| License Number | 71001612B |
| License Type | CSR-Prescriptive Authority |
| License Status | Current/Not Practicing |
| City | Sellersburg |
| State | IN |