LAUREN ELIZABETH ERNST Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002049

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

ERNST

Business Name

LAUREN ELIZABETH ERNST

Original Issue Date

08/08/2003

Effective Date

08/08/2003

Expiration Date

03/01/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006