The holder whose full name is MacNak, Kathy,come from Winona Lake IN,hold the CSR-Prescriptive Authority license(NO.71001333D) which status is Expired.
| Name | MacNak, Kathy |
|---|---|
| License Number | 71001333D |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Winona Lake |
| State | IN |