The holder whose full name is Hines, Anne Therese,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000159A) which status is Active.
| Name | Hines, Anne Therese |
|---|---|
| License Number | 10000159A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |