The holder whose full name is Lavanture, Jacynda Leigh,come from Bristol IN,hold the CSR-Physician Assistant license(NO.10000900B) which status is Expired.
| Name | Lavanture, Jacynda Leigh |
|---|---|
| License Number | 10000900B |
| License Type | CSR-Physician Assistant |
| License Status | Expired |
| City | Bristol |
| State | IN |