The holder whose full name is Fodstad, Wendy Marie,come from Indianapolis IN,hold the CSR-Physician Assistant license(NO.10001301B) which status is Active.
| Name | Fodstad, Wendy Marie |
|---|---|
| License Number | 10001301B |
| License Type | CSR-Physician Assistant |
| License Status | Active |
| City | Indianapolis |
| State | IN |