DONNA LYNN PETROCELLA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

NOT RENEWED

Business

First Name

DONNA LYNN

Last Name

PETROCELLA

Business Name

DONNA LYNN PETROCELLA

Original Issue Date

04/13/2001

Effective Date

04/13/2001

Expiration Date

03/01/2002

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2017