The holder whose full name is Sullenberger, Courtney Demeter,come from Mooresville IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001636A) which status is Active.
| Name | Sullenberger, Courtney Demeter |
|---|---|
| License Number | 10001636A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Mooresville |
| State | IN |