DAVID LEE WONNELL - Physician Assistant License in Illinois | # 085001111

DAVID LEE WONNELL

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001111

License Status

INACTIVE

Business

N

First Name

DAVID

Middle

LEE

Last Name

WONNELL

Business Name

DAVID LEE WONNELL

Original Issue Date

01/08/1999

Effective Date

01/08/1999

Expiration Date

03/01/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006