LAUREN LEIGH LOUTERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002178

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

LEIGH

Last Name

LOUTERS

Business Name

LAUREN LEIGH LOUTERS

Original Issue Date

11/04/2003

Effective Date

11/04/2003

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006