The holder whose full name is Wallace, Kathleen M.,come from Crown Point IN,hold the APN Prescriptive Authority license(NO.71000826A) which status is Active.
| Name | Wallace, Kathleen M. |
|---|---|
| License Number | 71000826A |
| License Type | APN Prescriptive Authority |
| License Status | Active |
| City | Crown Point |
| State | IN |