LAUREN VAN LOON - Physician Assistant License in Wisconsin | # 085006679

LAUREN VAN LOON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006679

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Last Name

VAN LOON

Business Name

LAUREN VAN LOON

Original Issue Date

07/30/2018

Effective Date

12/30/2019

Expiration Date

03/01/2022

State

WI

Ever Disciplined

N

LastModifiedDate

07/27/2022