The holder whose full name is Westlund, Ted John,come from Greenwood IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000142A) which status is Active.
Name | Westlund, Ted John |
---|---|
License Number | 10000142A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Greenwood |
State | IN |