The holder whose full name is Heckman, Christa Nicole,come from Mishawaka IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000762A) which status is Expired.
Name | Heckman, Christa Nicole |
---|---|
License Number | 10000762A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Expired |
City | Mishawaka |
State | IN |