The holder whose full name is Walters, Becky Sue,come from Lafayette IN,hold the CSR-Prescriptive Authority license(NO.71001987B) which status is Active.
| Name | Walters, Becky Sue |
|---|---|
| License Number | 71001987B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Lafayette |
| State | IN |