The holder whose full name is Montgomery, Carolyn Avau,come from Evansville IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000785A) which status is Expired.
Name | Montgomery, Carolyn Avau |
---|---|
License Number | 10000785A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Expired |
City | Evansville |
State | IN |