The holder whose full name is Wagner, Betty Jo,come from Pendleton IN,hold the CSR-Prescriptive Authority license(NO.71000881B) which status is Active.
| Name | Wagner, Betty Jo |
|---|---|
| License Number | 71000881B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Pendleton |
| State | IN |