LAUREN NORELLE WEAVER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

INOPERATIVE

Business

First Name

LAUREN

Middle

NORELLE

Last Name

WEAVER

Business Name

LAUREN NORELLE WEAVER

Original Issue Date

03/16/2012

Effective Date

03/16/2012

Expiration Date

03/01/2014

City

SAN MATEO

State

Zip

94401

Ever Disciplined

LastModifiedDate

11/20/2015