The holder whose full name is Baker, David R.,come from Fort Wayne IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001134A) which status is Active.
| Name | Baker, David R. |
|---|---|
| License Number | 10001134A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Fort Wayne |
| State | IN |