The holder whose full name is Burkhart, Jennifer Ann,come from Churubusco IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001328A) which status is Active.
Name | Burkhart, Jennifer Ann |
---|---|
License Number | 10001328A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Churubusco |
State | IN |