The holder whose full name is Johnston, Carmen Nicole,come from Warsaw IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001237A) which status is Active.
| Name | Johnston, Carmen Nicole |
|---|---|
| License Number | 10001237A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Warsaw |
| State | IN |