The holder whose full name is Straub, Thomas A.,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001631A) which status is Active.
| Name | Straub, Thomas A. |
|---|---|
| License Number | 10001631A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |