LAUREN NORELLE WEAVER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004258

License Status

INACTIVE

Business

First Name

LAUREN

Middle

NORELLE

Last Name

WEAVER

Business Name

LAUREN NORELLE WEAVER

Original Issue Date

12/13/2011

Effective Date

12/13/2011

Expiration Date

03/01/2014

City

SAN MATEO

State

Zip

94401

Ever Disciplined

LastModifiedDate

11/20/2015