The holder whose full name is Whiteside, Lisa A.,come from Greenwood IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000872A) which status is Active.
Name | Whiteside, Lisa A. |
---|---|
License Number | 10000872A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Greenwood |
State | IN |