The holder whose full name is Konvalinka, Patricia Ann,come from Munster IN,hold the CSR-Prescriptive Authority license(NO.71000893B) which status is Active.
| Name | Konvalinka, Patricia Ann |
|---|---|
| License Number | 71000893B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Munster |
| State | IN |