The holder whose full name is Payne, Leslie Ruth,come from Bloomington IN,hold the CSR-Prescriptive Authority license(NO.71001826B) which status is Expired.
| Name | Payne, Leslie Ruth |
|---|---|
| License Number | 71001826B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Bloomington |
| State | IN |