The holder whose full name is Cooper, Pam,come from Dyer IN,hold the CSR-Prescriptive Authority license(NO.71002783B) which status is Expired.
| Name | Cooper, Pam |
|---|---|
| License Number | 71002783B |
| License Type | CSR-Prescriptive Authority |
| License Status | Expired |
| City | Dyer |
| State | IN |