The holder whose full name is Frederick, Tania Dee,come from Nashville IN,hold the CSR-Prescriptive Authority license(NO.71001280B) which status is Active.
| Name | Frederick, Tania Dee |
|---|---|
| License Number | 71001280B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Nashville |
| State | IN |