AINSLEY BROOK WONDERLING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

NOT RENEWED

Business

First Name

AINSLEY

Middle

BROOK

Last Name

WONDERLING

Business Name

AINSLEY BROOK WONDERLING

Original Issue Date

03/16/2001

Effective Date

03/16/2001

Expiration Date

03/01/2008

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

03/11/2008