The holder whose full name is Powell, Julie A,come from Prospect KY,hold the CSR-Prescriptive Authority license(NO.71004450B) which status is Active.
| Name | Powell, Julie A |
|---|---|
| License Number | 71004450B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Prospect |
| State | KY |