The holder whose full name is Macknick, Patrick Andrew,come from Angola IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001054A) which status is Active.
| Name | Macknick, Patrick Andrew |
|---|---|
| License Number | 10001054A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Angola |
| State | IN |