The holder whose full name is WHITE, TAMARA J,come from TERRACE PARK OH,hold the CSR-Prescriptive Authority license(NO.71000667B) which status is Expired.
| Name | WHITE, TAMARA J |
|---|---|
| License Number | 71000667B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | TERRACE PARK |
| State | OH |