LAUREN BERNADETTE KING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004182

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

BERNADETTE

Last Name

KING

Business Name

LAUREN BERNADETTE KING

Original Issue Date

10/04/2011

Effective Date

02/22/2012

Expiration Date

03/01/2014

City

COLORADO SPRINGS

State

Zip

80907

County

COLORADO

Ever Disciplined

LastModifiedDate

04/08/2014