The holder whose full name is Clark, Peyton T.,come from Louisville KY,hold the CSR-Physician Assistant license(NO.10001532B) which status is Expired.
| Name | Clark, Peyton T. |
|---|---|
| License Number | 10001532B |
| License Type | CSR-Physician Assistant |
| License Status | Expired |
| City | Louisville |
| State | KY |