The holder whose full name is ABBOTT, DIANE C,come from LOUISVILLE KY,hold the CSR-Prescriptive Authority license(NO.71000506B) which status is Active.
| Name | ABBOTT, DIANE C |
|---|---|
| License Number | 71000506B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | LOUISVILLE |
| State | KY |