The holder whose full name is Gonnella, Gerald Edwin,come from Chesterton IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000264A) which status is Active.
Name | Gonnella, Gerald Edwin |
---|---|
License Number | 10000264A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Chesterton |
State | IN |