STEPHEN PERROS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008516

License Status

NOT RENEWED

Business

First Name

STEPHEN

Last Name

PERROS

Business Name

STEPHEN PERROS

Original Issue Date

08/05/2021

Effective Date

08/05/2021

Expiration Date

03/01/2022

City

PORTLAND

State

Zip

04102

Ever Disciplined

LastModifiedDate

07/27/2022