The holder whose full name is Watson, Gay Gundersen,come from Decatur IN,hold the CSR-Prescriptive Authority license(NO.71004003B) which status is Suspended.
Name | Watson, Gay Gundersen |
---|---|
License Number | 71004003B |
License Type | CSR-Prescriptive Authority |
License Status | Suspended |
City | Decatur |
State | IN |