The holder whose full name is Staples, Leahdon Lynn,come from Valparaiso IN,hold the CSR-Prescriptive Authority license(NO.72000114B) which status is Active.
Name | Staples, Leahdon Lynn |
---|---|
License Number | 72000114B |
License Type | CSR-Prescriptive Authority |
License Status | Active |
City | Valparaiso |
State | IN |