PETER GREGORY IARIA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

NOT RENEWED

Business

First Name

PETER

Middle

GREGORY

Last Name

IARIA

Business Name

PETER GREGORY IARIA

Original Issue Date

08/14/2002

Effective Date

08/14/2002

Expiration Date

03/01/2004

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/09/2006