AMY VIOLA PETRIE - Physician Assistant License in Virginia | # 085002713

AMY VIOLA PETRIE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002713

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

VIOLA

Last Name

PETRIE

Business Name

AMY VIOLA PETRIE

Original Issue Date

05/04/2006

Effective Date

04/05/2012

Expiration Date

03/01/2014

State

VA

Ever Disciplined

N

LastModifiedDate

04/08/2014