AWILDA M LABONNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001489

License Status

NOT RENEWED

Business

First Name

AWILDA

Middle

Last Name

LABONNE

Business Name

AWILDA M LABONNE

Original Issue Date

11/27/2000

Effective Date

02/02/2016

Expiration Date

03/01/2018

City

CHATTANOOGA

State

Zip

37419

Ever Disciplined

LastModifiedDate

05/10/2018