The holder whose full name is NEWINGTON, EDWIN KEITH,come from FORT WAYNE IN,hold the Physician Assistant license(NO.10000140A) which status is Expired.
| Name | NEWINGTON, EDWIN KEITH |
|---|---|
| License Number | 10000140A |
| License Type | Physician Assistant |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |