The holder whose full name is Flye, Bernita Ann,come from Fort Wayne IN,hold the CSR-Prescriptive Authority license(NO.71004875B) which status is Active.
Name | Flye, Bernita Ann |
---|---|
License Number | 71004875B |
License Type | CSR-Prescriptive Authority |
License Status | Active |
City | Fort Wayne |
State | IN |