The holder whose full name is Martin, Dana Lamar,come from Shipshewana IN,hold the Physician Assistant license(NO.10000123A) which status is Expired.
| Name | Martin, Dana Lamar |
|---|---|
| License Number | 10000123A |
| License Type | Physician Assistant |
| License Status | Expired |
| City | Shipshewana |
| State | IN |