The holder whose full name is Lefforge, Mariah K,come from Granger IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000990A) which status is Active.
| Name | Lefforge, Mariah K |
|---|---|
| License Number | 10000990A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Granger |
| State | IN |