The holder whose full name is Khallak, Nelli Anastasia,come from Highland IN,hold the CSR-Prescriptive Authority license(NO.71004630B) which status is Current/Not Practicing.
| Name | Khallak, Nelli Anastasia |
|---|---|
| License Number | 71004630B |
| License Type | CSR-Prescriptive Authority |
| License Status | Current/Not Practicing |
| City | Highland |
| State | IN |