The holder whose full name is Maciejewski, Brianna Lynn,come from Lafayette IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001492A) which status is Active.
Name | Maciejewski, Brianna Lynn |
---|---|
License Number | 10001492A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Lafayette |
State | IN |