The holder whose full name is DOKA, FATUMA,come from FORT WAYNE IN,hold the CSR-Prescriptive Authority license(NO.71000067B) which status is Expired.
| Name | DOKA, FATUMA |
|---|---|
| License Number | 71000067B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |