LAUREN ELIZABETH SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003909

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

SMITH

Business Name

LAUREN ELIZABETH SMITH

Original Issue Date

09/29/2010

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018