LAUREN MARIE LEW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005128

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

MARIE

Last Name

LEW

Business Name

LAUREN MARIE LEW

Original Issue Date

08/08/2014

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018