The holder whose full name is Folkerth, Mary Theresa,come from New Madison OH,hold the CSR-Prescriptive Authority license(NO.71000272B) which status is Valid to Practice While Reviewed.
| Name | Folkerth, Mary Theresa |
|---|---|
| License Number | 71000272B |
| License Type | CSR-Prescriptive Authority |
| License Status | Valid to Practice While Reviewed |
| City | New Madison |
| State | OH |