LAURAN CLAIRE DECEAULT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005901

License Status

ACTIVE

Business

First Name

LAURAN

Middle

CLAIRE

Last Name

DECEAULT

Business Name

LAURAN CLAIRE DECEAULT

Original Issue Date

07/18/2016

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/25/2026