The holder whose full name is Smith, Tiffany Elaine,come from La Grange KY,hold the CSR-Physician Assistant license(NO.10001221B) which status is Active.
| Name | Smith, Tiffany Elaine |
|---|---|
| License Number | 10001221B |
| License Type | CSR-Physician Assistant |
| License Status | Active |
| City | La Grange |
| State | KY |