The holder whose full name is Bort, Abigail Marie,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001263A) which status is Active.
| Name | Bort, Abigail Marie |
|---|---|
| License Number | 10001263A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |