LAUREN M REYNOLDS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008438

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

REYNOLDS

Business Name

LAUREN M REYNOLDS

Original Issue Date

07/10/2021

Effective Date

02/10/2022

Expiration Date

03/01/2024

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

02/05/2025