DAVID LEE WONNELL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001111

License Status

INACTIVE

Business

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

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/09/2006