The holder whose full name is Parks, Carol Lynn,come from Valparaiso IN,hold the CSR-Prescriptive Authority license(NO.71002473B) which status is Active.
| Name | Parks, Carol Lynn |
|---|---|
| License Number | 71002473B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Valparaiso |
| State | IN |