The holder whose full name is Durecka, Laura Elaine,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000775A) which status is Expired.
Name | Durecka, Laura Elaine |
---|---|
License Number | 10000775A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Expired |
City | Fort Wayne |
State | IN |