The holder whose full name is Spudic, Lisa Anne,come from Hammond IN,hold the CSR-Prescriptive Authority license(NO.71001360B) which status is Active.
| Name | Spudic, Lisa Anne |
|---|---|
| License Number | 71001360B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Hammond |
| State | IN |