The holder whose full name is Blank, Tamara Lee,come from Plainfield IN,hold the CSR-Physician Assistant license(NO.10000435B) which status is Active.
| Name | Blank, Tamara Lee |
|---|---|
| License Number | 10000435B |
| License Type | CSR-Physician Assistant |
| License Status | Active |
| City | Plainfield |
| State | IN |