The holder whose full name is Fields, Beth Rae,come from Terre Haute IN,hold the CSR-Prescriptive Authority license(NO.71000887B) which status is Active.
| Name | Fields, Beth Rae |
|---|---|
| License Number | 71000887B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Terre Haute |
| State | IN |