PETER EARL CARMANY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002432

License Status

NOT RENEWED

Business

First Name

PETER

Middle

EARL

Last Name

CARMANY

Business Name

PETER EARL CARMANY

Original Issue Date

12/10/2004

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/23/2010