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 |