The holder whose full name is Whittaker, Alissa M.,come from Plymouth IN,hold the CSR-Prescriptive Authority license(NO.71004885B) which status is Active.
| Name | Whittaker, Alissa M. |
|---|---|
| License Number | 71004885B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Plymouth |
| State | IN |