The holder whose full name is Depold, Carry Elizabeth,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001452A) which status is Active.
Name | Depold, Carry Elizabeth |
---|---|
License Number | 10001452A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Fort Wayne |
State | IN |