The holder whose full name is Clark, Peyton T.,come from Louisville KY,hold the Physician Assistant - Prescriptive Authority license(NO.10001532A) which status is Active.
| Name | Clark, Peyton T. |
|---|---|
| License Number | 10001532A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Louisville |
| State | KY |