The holder whose full name is Higginbotham, James Chad,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001186A) which status is Expired.
Name | Higginbotham, James Chad |
---|---|
License Number | 10001186A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Expired |
City | Fort Wayne |
State | IN |