KEVIN PATRICK PETERS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006652

License Status

ACTIVE

Business

First Name

KEVIN

Middle

PATRICK

Last Name

PETERS

Business Name

KEVIN PATRICK PETERS

Original Issue Date

07/19/2018

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

12/03/2025