PEGGY P DEMIKIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000466

License Status

NOT RENEWED

Business

First Name

PEGGY P

Last Name

DEMIKIS

Business Name

PEGGY P DEMIKIS

Original Issue Date

08/29/1991

Effective Date

03/29/2018

Expiration Date

03/01/2020

City

LAPORTE

State

Zip

46350

Ever Disciplined

LastModifiedDate

11/24/2020