JYL LUCILLE WONNELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

JYL

Middle

LUCILLE

Last Name

WONNELL

Business Name

JYL LUCILLE WONNELL

Original Issue Date

03/16/2001

Effective Date

03/16/2001

Expiration Date

03/01/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/10/2007