The holder whose full name is Reisman, Jill Marie,come from Lafayette IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000734A) which status is Active.
| Name | Reisman, Jill Marie |
|---|---|
| License Number | 10000734A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Lafayette |
| State | IN |