The holder whose full name is Bayer, Amy Lynn,come from Portage IN,hold the CSR-Prescriptive Authority license(NO.71003412B) which status is Active.
| Name | Bayer, Amy Lynn |
|---|---|
| License Number | 71003412B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Portage |
| State | IN |