LAUREN TAYLOR FLAVAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007804

License Status

ACTIVE

Business

First Name

LAUREN

Middle

TAYLOR

Last Name

FLAVAN

Business Name

LAUREN TAYLOR FLAVAN

Original Issue Date

07/01/2020

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

01/19/2026