LAURA DAWN DEATON

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****07

ACTIVE

N

LAURA

DAWN

DEATON

LAURA DAWN DEATON

10/03/2011

01/22/2026

03/01/2028

SPRINGFIELD

IL

62702

SANGAMON

II III IV V

N

01/22/2026