JOHN P DONNELLY - Physician Assistant License in Wisconsin | # 085000176

JOHN P DONNELLY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000176

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

P

Last Name

DONNELLY

Business Name

JOHN P DONNELLY

Original Issue Date

02/19/1980

Effective Date

02/19/1980

Expiration Date

03/01/1986

State

WI

Ever Disciplined

Y

LastModifiedDate

11/18/2009