The holder whose full name is Ballenthin, Kristen Danielle,come from North Saint Paul MN,hold the Physician Assistant - Prescriptive Authority license(NO.10001174A) which status is Expired.
| Name | Ballenthin, Kristen Danielle |
|---|---|
| License Number | 10001174A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Expired |
| City | North Saint Paul |
| State | MN |