LAUREN ELIZABETH VANDEVENTER - Physician Assistant License in Wyoming | # 085005195

LAUREN ELIZABETH VANDEVENTER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005195

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Middle

ELIZABETH

Last Name

VANDEVENTER

Business Name

LAUREN ELIZABETH VANDEVENTER

Original Issue Date

09/03/2014

Effective Date

09/03/2014

Expiration Date

03/01/2016

State

WY

Ever Disciplined

N

LastModifiedDate

04/25/2016