The holder whose full name is Fraker, Jacob,come from South Bend IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000686A) which status is Active.
| Name | Fraker, Jacob |
|---|---|
| License Number | 10000686A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | South Bend |
| State | IN |