The holder whose full name is Thomson, Ellen,come from Goshen KY,hold the CSR-Prescriptive Authority license(NO.71004448B) which status is Active.
| Name | Thomson, Ellen |
|---|---|
| License Number | 71004448B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Goshen |
| State | KY |