The holder whose full name is Tucker, Monica R.,come from Fort Wayne IN,hold the CSR-Prescriptive Authority license(NO.71001243B) which status is Expired.
| Name | Tucker, Monica R. |
|---|---|
| License Number | 71001243B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |