Indiana
Professional Licensing Agency
Kiersten Rene Carrico
Physician Assistant
License number
10001557A
Date granted
07/17/2013
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46814
indianalicensing.org
ID 8389928
LAST UPDATED 2024-05-03 19:09:40 UTC
LAST UPDATED 2024-05-03 19:09:40 UTC
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