KEVIN S PEROTTI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000842

License Status

NOT RENEWED

Business

First Name

KEVIN S

Last Name

PEROTTI

Business Name

KEVIN S PEROTTI

Original Issue Date

01/08/1997

Effective Date

01/08/1997

Expiration Date

03/01/2000

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

09/26/2006