LAURA MARIE YACOVONE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

INOPERATIVE

Business

First Name

LAURA

Middle

MARIE

Last Name

YACOVONE

Business Name

LAURA MARIE YACOVONE

Original Issue Date

03/16/2012

Effective Date

03/16/2012

Expiration Date

03/01/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/18/2015