JYL LUCILLE WONNELL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001134

License Status

INACTIVE

Business

First Name

JYL

Middle

LUCILLE

Last Name

WONNELL

Business Name

JYL LUCILLE WONNELL

Original Issue Date

01/11/1999

Effective Date

01/11/1999

Expiration Date

03/01/2008

City

CAMBRIDGE

State

Zip

50046

Ever Disciplined

LastModifiedDate

12/14/2007