The holder whose full name is Johnson, Douglas W.,come from Dallas TX,hold the Physician Assistant - Prescriptive Authority license(NO.10001169A) which status is Active.
| Name | Johnson, Douglas W. |
|---|---|
| License Number | 10001169A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Dallas |
| State | TX |