The holder whose full name is Coots, Joel Wayne,come from Valparaiso IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001120A) which status is Active.
| Name | Coots, Joel Wayne |
|---|---|
| License Number | 10001120A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Valparaiso |
| State | IN |