The holder whose full name is DeAlteris, Patricia Anne,come from Fort Wayne IN,hold the CSR-Physician Assistant license(NO.10000625B) which status is Expired.
| Name | DeAlteris, Patricia Anne |
|---|---|
| License Number | 10000625B |
| License Type | CSR-Physician Assistant |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |