The holder whose full name is Davidson, Mary Ann,come from West Terre Haute IN,hold the CSR-Prescriptive Authority license(NO.71002633B) which status is Active.
| Name | Davidson, Mary Ann |
|---|---|
| License Number | 71002633B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | West Terre Haute |
| State | IN |