The holder whose full name is Waggner, Amy R.,come from Loogootee IN,hold the CSR-Prescriptive Authority license(NO.71001500B) which status is Active.
| Name | Waggner, Amy R. |
|---|---|
| License Number | 71001500B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Loogootee |
| State | IN |