The holder whose full name is Shields, Tamara Sue,come from Monticello IN,hold the CSR-Prescriptive Authority license(NO.71001447B) which status is Active.
| Name | Shields, Tamara Sue |
|---|---|
| License Number | 71001447B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Monticello |
| State | IN |