The holder whose full name is Thomas, Jennifa Kim,come from Michigan City IN,hold the CSR-Prescriptive Authority license(NO.71003971B) which status is Active.
| Name | Thomas, Jennifa Kim |
|---|---|
| License Number | 71003971B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Michigan City |
| State | IN |