The holder whose full name is Tate, Lara Mitchell,come from Carmel IN,hold the CSR-Physician Assistant license(NO.10001051G) which status is Expired.
| Name | Tate, Lara Mitchell |
|---|---|
| License Number | 10001051G |
| License Type | CSR-Physician Assistant |
| License Status | Expired |
| City | Carmel |
| State | IN |