The holder whose full name is Swenson, Marie G,come from MIshawaka IN,hold the CSR-Prescriptive Authority license(NO.71004635B) which status is Active.
| Name | Swenson, Marie G |
|---|---|
| License Number | 71004635B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | MIshawaka |
| State | IN |