The holder whose full name is Brush, Randy,come from South Bend IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001478A) which status is Active.
| Name | Brush, Randy |
|---|---|
| License Number | 10001478A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | South Bend |
| State | IN |