The holder whose full name is Cousins, Melissa Anne,come from Arcadia IN,hold the CSR-Prescriptive Authority license(NO.71002237B) which status is Expired.
| Name | Cousins, Melissa Anne |
|---|---|
| License Number | 71002237B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Arcadia |
| State | IN |