LAURA MARIE YACOVONE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004196

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

MARIE

Last Name

YACOVONE

Business Name

LAURA MARIE YACOVONE

Original Issue Date

10/12/2011

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/18/2015