Jacynda Leigh Lavanture
Controlled Substance Registration-Physician Assistant
Indiana 10000900B Expired
This Indiana license was held by Jacynda Leigh Lavanture. The license is no longer active. It was granted on 01/25/2008 and expired on 06/30/2010
LICENSE DETAILS
- License Number: 10000900B
- Category: CSR-Physician Assistant
- Status: Expired
- Date Granted: 01/25/2008 (over 16 years ago)
- Expiry Date: 06/30/2010 (about 14 years ago)
LOCATIONS
A Address
Midwest Cardiovascular Specialist, 500 Arcade Blvd, Suite 400, Elkhart IN 46514