The holder whose full name is VENTRELLO, LINDA ANN,come from WHEATFIELD IN,hold the CSR-Prescriptive Authority license(NO.71000640B) which status is Expired.
Name | VENTRELLO, LINDA ANN |
---|---|
License Number | 71000640B |
License Type | CSR-Prescriptive Authority |
License Status | Expired |
City | WHEATFIELD |
State | IN |