The holder whose full name is Ellis, Carolyn Marie,come from Henderson KY,hold the CSR-Prescriptive Authority license(NO.71002609B) which status is Active.
| Name | Ellis, Carolyn Marie |
|---|---|
| License Number | 71002609B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Henderson |
| State | KY |