AMY VIOLA PETRIE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002713

License Status

NOT RENEWED

Business

First Name

AMY

Middle

VIOLA

Last Name

PETRIE

Business Name

AMY VIOLA PETRIE

Original Issue Date

05/04/2006

Effective Date

04/05/2012

Expiration Date

03/01/2014

City

WILLIAMSBURG

State

Zip

23188

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/08/2014