The holder whose full name is Wallace, Patricia Gayle,come from Henderson KY,hold the CSR-Prescriptive Authority license(NO.70000099B) which status is Active.
| Name | Wallace, Patricia Gayle |
|---|---|
| License Number | 70000099B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Henderson |
| State | KY |