The holder whose full name is Shook, Jennifer Diahn,come from Kokomo IN,hold the CSR-Prescriptive Authority license(NO.71002927B) which status is Active.
| Name | Shook, Jennifer Diahn |
|---|---|
| License Number | 71002927B |
| License Type | CSR-Prescriptive Authority |
| License Status | Active |
| City | Kokomo |
| State | IN |