The holder whose full name is Mata, Heather Lynne,come from West Terre Haute IN,hold the CSR-Physician Assistant license(NO.10001212B) which status is Active.
| Name | Mata, Heather Lynne |
|---|---|
| License Number | 10001212B |
| License Type | CSR-Physician Assistant |
| License Status | Active |
| City | West Terre Haute |
| State | IN |