PETER EARL CARMANY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

PETER

Middle

EARL

Last Name

CARMANY

Business Name

PETER EARL CARMANY

Original Issue Date

03/03/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/23/2010