The holder whose full name is Gilliam, Lauren K,come from Speedway IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001712A) which status is Active.
| Name | Gilliam, Lauren K |
|---|---|
| License Number | 10001712A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Speedway |
| State | IN |