The holder whose full name is Walters, Peggy Ann,come from Bowling Green IN,hold the CSR-Prescriptive Authority license(NO.71002258B) which status is Expired.
Name | Walters, Peggy Ann |
---|---|
License Number | 71002258B |
License Type | CSR-Prescriptive Authority |
License Status | Expired |
City | Bowling Green |
State | IN |