The holder whose full name is Mallory, Debra Lynn,come from Indianapolis IN,hold the CSR-Prescriptive Authority license(NO.71001184B) which status is Active.
| Name | Mallory, Debra Lynn |
|---|---|
| License Number | 71001184B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Indianapolis |
| State | IN |