The holder whose full name is Bonafede, Jennifer Leigh,come from Louisville KY,hold the Physician Assistant - Prescriptive Authority license(NO.10001068A) which status is Expired.
Name | Bonafede, Jennifer Leigh |
---|---|
License Number | 10001068A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Expired |
City | Louisville |
State | KY |