The holder whose full name is Shepherd, Carissa Kathleen,come from Greentown IN,hold the CSR-Prescriptive Authority license(NO.71002240B) which status is Active.
| Name | Shepherd, Carissa Kathleen |
|---|---|
| License Number | 71002240B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Greentown |
| State | IN |