AWILDA M LABONNE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

INOPERATIVE

Business

First Name

AWILDA

Middle

Last Name

LABONNE

Business Name

AWILDA M LABONNE

Original Issue Date

03/09/2001

Effective Date

02/02/2016

Expiration Date

03/01/2018

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018