The holder whose full name is TRADER, JOHN L,come from FORT WAYNE IN,hold the Physician Assistant license(NO.10000008A) which status is Expired.
| Name | TRADER, JOHN L |
|---|---|
| License Number | 10000008A |
| License Type | Physician Assistant |
| License Status | Expired |
| City | FORT WAYNE |
| State | IN |