License Information

The holder whose full name is Lubbehusen, Connie JoAnne,come from FORT WAYNE IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000811A) which status is Active.

NameLubbehusen, Connie JoAnne
License Number10000811A
License TypePhysician Assistant - Prescriptive Authority
License StatusActive
CityFORT WAYNE
StateIN

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