LAUREN VAN LOON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

LAUREN

Last Name

VAN LOON

Business Name

LAUREN VAN LOON

Original Issue Date

10/24/2018

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60643

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022