The holder whose full name is Baumgartner, Richard Dean,come from Decatur IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000092A) which status is Expired.
| Name | Baumgartner, Richard Dean |
|---|---|
| License Number | 10000092A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Expired |
| City | Decatur |
| State | IN |