The holder whose full name is Erickson, Cheryl Lynn,come from Fort Wayne IN,hold the CSR-Prescriptive Authority license(NO.71000493B) which status is Expired.
Name | Erickson, Cheryl Lynn |
---|---|
License Number | 71000493B |
License Type | CSR-Prescriptive Authority |
License Status | Expired |
City | Fort Wayne |
State | IN |