The holder whose full name is Frasure, Kathy Annette,come from Bloomington IN,hold the CSR-Prescriptive Authority license(NO.71002676B) which status is Active.
| Name | Frasure, Kathy Annette |
|---|---|
| License Number | 71002676B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Bloomington |
| State | IN |