The holder whose full name is Speidel, Laura Susan,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000548A) which status is Active.
Name | Speidel, Laura Susan |
---|---|
License Number | 10000548A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Fort Wayne |
State | IN |