LORI S LAFAYETTE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000358

License Status

INACTIVE

Business

First Name

LORI S

Last Name

LAFAYETTE

Business Name

LORI S LAFAYETTE

Original Issue Date

05/17/1988

Effective Date

05/17/1988

Expiration Date

03/01/1994

City

WAPELLO

State

Zip

52653

County

IOWA

Ever Disciplined

LastModifiedDate

09/26/2006