The holder whose full name is Thompson, Carrie M.,come from Valparaiso IN,hold the CSR-Prescriptive Authority license(NO.71003542B) which status is Active.
| Name | Thompson, Carrie M. |
|---|---|
| License Number | 71003542B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Valparaiso |
| State | IN |