The holder whose full name is Kubala, Katie Ann,come from Lawrenceburg IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001761A) which status is Active.
| Name | Kubala, Katie Ann |
|---|---|
| License Number | 10001761A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Lawrenceburg |
| State | IN |