Indiana
Professional Licensing Agency
Kayla Cristen Latz
Physician Assistant
License number
10001754A
Date granted
10/23/2014
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 29180377
LAST UPDATED 2024-02-25 17:03:53 UTC
LAST UPDATED 2024-02-25 17:03:53 UTC
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