The holder whose full name is Vance, Deetta Kay,come from Bargersville IN,hold the CSR-Prescriptive Authority license(NO.71004949B) which status is Active.
| Name | Vance, Deetta Kay |
|---|---|
| License Number | 71004949B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Bargersville |
| State | IN |