AINSLEY BROOK WONDERLING - Physician Assistant License in Illinois | # 085000183

AINSLEY BROOK WONDERLING

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000183

License Status

INACTIVE

Business

N

First Name

AINSLEY

Middle

BROOK

Last Name

WONDERLING

Business Name

AINSLEY BROOK WONDERLING

Original Issue Date

07/13/1980

Effective Date

07/13/1980

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2008