Leslie Ruth Payne
Apn Prescriptive Authority
Indiana 71001826A Expired
This Indiana license was held by Leslie Ruth Payne. The license is no longer active. It was granted on 10/14/2004 and expired on 10/31/2005
LICENSE DETAILS
- License Number: 71001826A
- Category: APN Prescriptive Authority
- Status: Expired
- Date Granted: 10/14/2004 (almost 22 years ago)
- Expiry Date: 10/31/2005 (over 20 years ago)
LOCATIONS
A Address
Bloomington IN 47408