ANTHONY PETE PERARDI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

PETE

Last Name

PERARDI

Business Name

ANTHONY PETE PERARDI

Original Issue Date

01/05/2006

Effective Date

01/05/2010

Expiration Date

03/01/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/16/2012