The holder whose full name is Degitz, Amber Rachelle,come from FORT WAYNE IN,hold the CSR-Prescriptive Authority license(NO.71004359B) which status is Active.
| Name | Degitz, Amber Rachelle |
|---|---|
| License Number | 71004359B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | FORT WAYNE |
| State | IN |