The holder whose full name is Ortiz, Katherine Ann,come from Carmel IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001162A) which status is Expired.
| Name | Ortiz, Katherine Ann |
|---|---|
| License Number | 10001162A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Expired |
| City | Carmel |
| State | IN |