The holder whose full name is Wassenhove, Susan Marie,come from Mishawaka IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000251A) which status is Expired.
| Name | Wassenhove, Susan Marie |
|---|---|
| License Number | 10000251A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Expired |
| City | Mishawaka |
| State | IN |