The holder whose full name is Mayernik, Amy Lynn,come from Fort Wayne IN,hold the APN Prescriptive Authority license(NO.71004465A) which status is Active.
| Name | Mayernik, Amy Lynn |
|---|---|
| License Number | 71004465A |
| License Type | APN Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |