The holder whose full name is BASE, PAULA ANN,come from Louisville KY,hold the APN Prescriptive Authority license(NO.71000623A) which status is Expired.
| Name | BASE, PAULA ANN |
|---|---|
| License Number | 71000623A |
| License Type | APN Prescriptive Authority |
| License Status | Expired |
| City | Louisville |
| State | KY |