The holder whose full name is Montgomery, Lisa Kay,come from Kokomo IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000327A) which status is Active.
| Name | Montgomery, Lisa Kay |
|---|---|
| License Number | 10000327A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Kokomo |
| State | IN |