ANTHONY PETE PERARDI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002644

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

PETE

Last Name

PERARDI

Business Name

ANTHONY PETE PERARDI

Original Issue Date

10/26/2005

Effective Date

01/05/2010

Expiration Date

03/01/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/11/2012