The holder whose full name is Lippold, Traci,come from Columbus IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001601A) which status is Active.
| Name | Lippold, Traci |
|---|---|
| License Number | 10001601A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Columbus |
| State | IN |