The holder whose full name is Brock, Jared Layne,come from Columbus IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000575A) which status is Active.
| Name | Brock, Jared Layne |
|---|---|
| License Number | 10000575A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Columbus |
| State | IN |