The holder whose full name is Born, Jennifer,come from Columbia City IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000925A) which status is Active.
| Name | Born, Jennifer |
|---|---|
| License Number | 10000925A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Columbia City |
| State | IN |