The holder whose full name is Phillips, Amanda Calloway,come from Louisville KY,hold the CSR-Prescriptive Authority license(NO.71001599B) which status is Expired.
| Name | Phillips, Amanda Calloway |
|---|---|
| License Number | 71001599B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Louisville |
| State | KY |