The holder whose full name is Laursen, Brian T.,come from Columbia City IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000668A) which status is Active.
| Name | Laursen, Brian T. |
|---|---|
| License Number | 10000668A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Columbia City |
| State | IN |