The holder whose full name is EMMICK, CYNTHIA JO,come from LEWISPORT KY,hold the CSR-Prescriptive Authority license(NO.71002207B) which status is Expired.
Name | EMMICK, CYNTHIA JO |
---|---|
License Number | 71002207B |
License Type | CSR-Prescriptive Authority |
License Status | Expired |
City | LEWISPORT |
State | KY |