The holder whose full name is Lavely, William T,come from Louisville KY,hold the CSR-Prescriptive Authority license(NO.71004684B) which status is Active.
| Name | Lavely, William T |
|---|---|
| License Number | 71004684B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Louisville |
| State | KY |