GERALD E GONNELLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000499

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

GONNELLA

Business Name

GERALD E GONNELLA

Original Issue Date

06/03/1992

Effective Date

06/03/1992

Expiration Date

03/01/2006

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006