GERALD E GONNELLA - Physician Assistant License in Illinois | # 085000499

GERALD E GONNELLA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000499

License Status

NOT RENEWED

Business

N

First Name

GERALD

Middle

E

Last Name

GONNELLA

Business Name

GERALD E GONNELLA

Original Issue Date

06/03/1992

Effective Date

06/03/1992

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006