DESTINY GRACE PETROWICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007902

License Status

ACTIVE

Business

First Name

DESTINY

Middle

GRACE

Last Name

PETROWICH

Business Name

DESTINY GRACE PETROWICH

Original Issue Date

08/29/2020

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/26/2026