DONNA LYNN PETROCELLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000590

License Status

NOT RENEWED

Business

First Name

DONNA LYNN

Last Name

PETROCELLA

Business Name

DONNA LYNN PETROCELLA

Original Issue Date

02/01/1994

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

POTOMAC

State

Zip

20854

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/12/2017