The holder whose full name is Lange, Kristin Renee,come from Carmel IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001079A) which status is Active.
| Name | Lange, Kristin Renee |
|---|---|
| License Number | 10001079A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Carmel |
| State | IN |