The holder whose full name is Clark, Adam Seth,come from Shelbyville IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000979A) which status is Active.
| Name | Clark, Adam Seth |
|---|---|
| License Number | 10000979A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Shelbyville |
| State | IN |