The holder whose full name is Jimenez, Ana Maria,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000833A) which status is Inactive/Expired.
Name | Jimenez, Ana Maria |
---|---|
License Number | 10000833A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Inactive/Expired |
City | Fort Wayne |
State | IN |