LAURA C HORN DROEGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

HORN DROEGE

Business Name

LAURA C HORN DROEGE

Original Issue Date

05/22/2012

Effective Date

03/28/2018

Expiration Date

03/01/2020

City

ALTON

State

Zip

62002

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020