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