The holder whose full name is FAULKNER, CATHERINE L,come from AVON IN,hold the CSR-Prescriptive Authority license(NO.70000069B) which status is Expired.
Name | FAULKNER, CATHERINE L |
---|---|
License Number | 70000069B |
License Type | CSR-Prescriptive Authority |
License Status | Expired |
City | AVON |
State | IN |