The holder whose full name is Lee, Matthew Shayne,come from Terre Haute IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001669A) which status is Active.
| Name | Lee, Matthew Shayne |
|---|---|
| License Number | 10001669A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Terre Haute |
| State | IN |