The holder whose full name is O'Donnell, Michelle C.,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71004812B) which status is Active.
| Name | O'Donnell, Michelle C. |
|---|---|
| License Number | 71004812B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Indianapolis |
| State | IN |