The holder whose full name is Trachtenberg, Mary Beth,come from Portage IN,hold the CSR-Prescriptive Authority license(NO.71000015B) which status is Expired.
| Name | Trachtenberg, Mary Beth |
|---|---|
| License Number | 71000015B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Portage |
| State | IN |