AINSLEY BROOK WONDERLING Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000183

License Status

INACTIVE

Business

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

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

03/11/2008