The holder whose full name is Ortegon, Nina Cherie,come from New Lenox IL,hold the CSR-Prescriptive Authority license(NO.71002085B) which status is Expired.
| Name | Ortegon, Nina Cherie |
|---|---|
| License Number | 71002085B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | New Lenox |
| State | IL |