The holder whose full name is ANSON, RUTH ANITA,come from WEST LAFAYETTE IN,hold the CSR-Prescriptive Authority license(NO.72000032B) which status is Expired.
| Name | ANSON, RUTH ANITA |
|---|---|
| License Number | 72000032B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | WEST LAFAYETTE |
| State | IN |