The holder whose full name is Dougherty, Lorraine,come from Kokomo IN,hold the CSR-Prescriptive Authority license(NO.71002596B) which status is Expired.
| Name | Dougherty, Lorraine |
|---|---|
| License Number | 71002596B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Kokomo |
| State | IN |