PEDRO C PERNIA JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000158

License Status

NOT RENEWED

Business

First Name

PEDRO C

Last Name

PERNIA JR

Business Name

PEDRO C PERNIA JR

Original Issue Date

04/14/1981

Effective Date

04/14/1981

Expiration Date

04/14/1985

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/26/2006