The holder whose full name is Lothamer, Karen Sue,come from Fort Wayne IN,hold the CSR-Prescriptive Authority license(NO.70000193B) which status is Active.
| Name | Lothamer, Karen Sue |
|---|---|
| License Number | 70000193B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |