The holder whose full name is LEWIS, MONICA ANN,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71000661B) which status is Expired.
| Name | LEWIS, MONICA ANN |
|---|---|
| License Number | 71000661B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Indianapolis |
| State | IN |