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.
Name | Lubbehusen, Connie JoAnne |
---|---|
License Number | 10000811A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | FORT WAYNE |
State | IN |