LAWRENCE A DRAPER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000741

License Status

INACTIVE

Business

First Name

LAWRENCE

Middle

Last Name

DRAPER

Business Name

LAWRENCE A DRAPER

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/2008

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/14/2007