The holder whose full name is Mattingly, Amy Lynn,come from Waynetown IN,hold the CSR-Prescriptive Authority license(NO.71003617B) which status is Active.
| Name | Mattingly, Amy Lynn |
|---|---|
| License Number | 71003617B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Waynetown |
| State | IN |