The holder whose full name is SHEA GREEN, LORI JEAN,come from Georgetown IN,hold the CSR-Prescriptive Authority license(NO.71000547D) which status is Expired.
| Name | SHEA GREEN, LORI JEAN |
|---|---|
| License Number | 71000547D |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Georgetown |
| State | IN |