The holder whose full name is MINK, GAYLE MARIE,come from Jeffersonville IN,hold the CSR-Prescriptive Authority license(NO.71001476B) which status is Expired.
| Name | MINK, GAYLE MARIE |
|---|---|
| License Number | 71001476B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Jeffersonville |
| State | IN |