The holder whose full name is Palazzolo, Lisa Ann,come from Rockville IN,hold the CSR-Prescriptive Authority license(NO.71001712B) which status is Active.
| Name | Palazzolo, Lisa Ann |
|---|---|
| License Number | 71001712B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Rockville |
| State | IN |