JOHN P DONNELLY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000176

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

DONNELLY

Business Name

JOHN P DONNELLY

Original Issue Date

02/19/1980

Effective Date

02/19/1980

Expiration Date

03/01/1986

City

SHEBOYGAN

State

Zip

53083

Ever Disciplined

LastModifiedDate

11/18/2009