The holder whose full name is Jernagan, Elizabeth Anne,come from Walton IN,hold the CSR-Prescriptive Authority license(NO.71003534B) which status is Active.
| Name | Jernagan, Elizabeth Anne |
|---|---|
| License Number | 71003534B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Walton |
| State | IN |