The holder whose full name is Macklin, Nancy S.,come from Bloomington IN,hold the CSR-Prescriptive Authority license(NO.71000116B) which status is Active.
| Name | Macklin, Nancy S. |
|---|---|
| License Number | 71000116B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Bloomington |
| State | IN |