The holder whose full name is Dougherty, Debra Sue,come from Corydon IN,hold the CSR-Prescriptive Authority license(NO.71001790B) which status is Expired.
| Name | Dougherty, Debra Sue |
|---|---|
| License Number | 71001790B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Corydon |
| State | IN |