The holder whose full name is Gjeldum, Kathryn Mary,come from Merrillville IN,hold the CSR-Prescriptive Authority license(NO.71001746B) which status is Active.
| Name | Gjeldum, Kathryn Mary |
|---|---|
| License Number | 71001746B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Merrillville |
| State | IN |