ERIN COLLEEN MCPEAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004106

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

COLLEEN

Last Name

MCPEAK

Business Name

ERIN COLLEEN MCPEAK

Original Issue Date

08/11/2011

Effective Date

08/11/2011

Expiration Date

03/01/2012

City

CENTRALIA

State

Zip

98531

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

04/11/2012