The holder whose full name is Clemens, Brenda Kay,come from Fort Wayne IN,hold the CSR-Prescriptive Authority license(NO.71001942B) which status is Active.
| Name | Clemens, Brenda Kay |
|---|---|
| License Number | 71001942B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |