The holder whose full name is Baynes, Nathan Thomas,come from Bloomington IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000593A) which status is Active.
Name | Baynes, Nathan Thomas |
---|---|
License Number | 10000593A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Bloomington |
State | IN |