LAUREN LEIGH HENNESSY

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****09

ACTIVE

N

LAUREN

LEIGH

HENNESSY

LAUREN LEIGH HENNESSY

08/21/2024

01/13/2026

03/01/2028

NEW LENOX

IL

60451

WILL

II III IV V

N

01/13/2026