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