The holder whose full name is Congleton, Terri Denise,come from New Albany IN,hold the CSR-Prescriptive Authority license(NO.71002271B) which status is Expired.
| Name | Congleton, Terri Denise |
|---|---|
| License Number | 71002271B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | New Albany |
| State | IN |