The holder whose full name is Isenhower, Dennis A.,come from Bloomington IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001154A) which status is Expired.
Name | Isenhower, Dennis A. |
---|---|
License Number | 10001154A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Expired |
City | Bloomington |
State | IN |