COLLEEN E LAVOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

LAVOY

Business Name

COLLEEN E LAVOY

Original Issue Date

11/10/2014

Effective Date

02/04/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022