The holder whose full name is Vandermolen, Larry Wayne,come from Indianapolis IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001177A) which status is Active.
| Name | Vandermolen, Larry Wayne |
|---|---|
| License Number | 10001177A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Indianapolis |
| State | IN |