The holder whose full name is Ellis, Jody L.,come from Munster IN,hold the CSR-Physician Assistant license(NO.10000818B) which status is Active.
| Name | Ellis, Jody L. |
|---|---|
| License Number | 10000818B |
| License Type | CSR-Physician Assistant |
| License Status | Active |
| City | Munster |
| State | IN |