The holder whose full name is Ellis, Jody L.,come from Munster IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000818A) which status is Active.
| Name | Ellis, Jody L. |
|---|---|
| License Number | 10000818A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Munster |
| State | IN |