The holder whose full name is Harley, Kim Ann,come from Lewisport KY,hold the CSR-Prescriptive Authority license(NO.71004326B) which status is Active.
| Name | Harley, Kim Ann |
|---|---|
| License Number | 71004326B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Lewisport |
| State | KY |