The holder whose full name is Coffey, Deidre A,come from South Bend IN,hold the CSR-Prescriptive Authority license(NO.71003621B) which status is Active.
| Name | Coffey, Deidre A |
|---|---|
| License Number | 71003621B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | South Bend |
| State | IN |