The holder whose full name is Clark, Melinda Lee,come from Salem IN,hold the CSR-Prescriptive Authority license(NO.71002506B) which status is Active.
| Name | Clark, Melinda Lee |
|---|---|
| License Number | 71002506B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Salem |
| State | IN |