The holder whose full name is Thornburg, Tara Renee,come from Russellville IN,hold the Physician Assistant license(NO.10001542A) which status is Expired.
| Name | Thornburg, Tara Renee |
|---|---|
| License Number | 10001542A |
| License Type | Physician Assistant |
| License Status | Expired |
| City | Russellville |
| State | IN |