The holder whose full name is Taylor, Beth Ann,come from Lafayette IN,hold the CSR-Prescriptive Authority license(NO.71002158B) which status is Suspended.
| Name | Taylor, Beth Ann |
|---|---|
| License Number | 71002158B |
| License Type | CSR-Prescriptive Authority |
| License Status | Suspended |
| City | Lafayette |
| State | IN |