The holder whose full name is Goodin, Chana Nicole,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001474A) which status is Active.
| Name | Goodin, Chana Nicole |
|---|---|
| License Number | 10001474A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |