The holder whose full name is Close, Teresa Elaine,come from Huntington IN,hold the CSR-Prescriptive Authority license(NO.71003472B) which status is Active.
| Name | Close, Teresa Elaine |
|---|---|
| License Number | 71003472B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Huntington |
| State | IN |