The holder whose full name is Williams, Timothy Brian,come from Valparaiso IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001471A) which status is Active.
Name | Williams, Timothy Brian |
---|---|
License Number | 10001471A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Valparaiso |
State | IN |