GLYNN N DONAHUE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000244

License Status

NOT RENEWED

Business

First Name

GLYNN N

Last Name

DONAHUE

Business Name

GLYNN N DONAHUE

Original Issue Date

04/11/1960

Effective Date

04/11/1960

Expiration Date

04/11/1985

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

09/26/2006