The holder whose full name is Foster, Larry Levon,come from Dyer IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000772A) which status is Active.
| Name | Foster, Larry Levon |
|---|---|
| License Number | 10000772A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Dyer |
| State | IN |