The holder whose full name is Malick, Mary Lorraine,come from Schererville IN,hold the CSR-Prescriptive Authority license(NO.70000085B) which status is Expired.
| Name | Malick, Mary Lorraine |
|---|---|
| License Number | 70000085B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Schererville |
| State | IN |