LAUREN BELLEVILLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009130

License Status

NOT RENEWED

Business

First Name

LAUREN

Last Name

BELLEVILLE

Business Name

LAUREN BELLEVILLE

Original Issue Date

07/28/2022

Effective Date

07/28/2022

Expiration Date

03/01/2024

City

HAWTHORN WOODS

State

Zip

60047

County

ADAMS

Ever Disciplined

LastModifiedDate

02/05/2025