The holder whose full name is Foutch, Kelly Lynn,come from Avon IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001285A) which status is Active.
Name | Foutch, Kelly Lynn |
---|---|
License Number | 10001285A |
License Type | Physician Assistant - Prescriptive Authority |
License Status | Active |
City | Avon |
State | IN |