The holder whose full name is Jackson, Autumn A.,come from Avon IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001069A) which status is Expired.
| Name | Jackson, Autumn A. |
|---|---|
| License Number | 10001069A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Expired |
| City | Avon |
| State | IN |