LAUREN BELLEVILLE - Physician Assistant License in Illinois | # 085009130

LAUREN BELLEVILLE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009130

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Last Name

BELLEVILLE

Business Name

LAUREN BELLEVILLE

Original Issue Date

07/28/2022

Effective Date

07/28/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025