The holder whose full name is Shelton, Derek,come from Henderson KY,hold the CSR-Prescriptive Authority license(NO.71003826B) which status is Active.
| Name | Shelton, Derek |
|---|---|
| License Number | 71003826B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Henderson |
| State | KY |