The holder whose full name is Stout, Bryan Clifton,come from Wilkinson IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001402A) which status is Active.
| Name | Stout, Bryan Clifton |
|---|---|
| License Number | 10001402A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Wilkinson |
| State | IN |