LAURAN CLAIRE DECEAULT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

LAURAN

Middle

CLAIRE

Last Name

DECEAULT

Business Name

LAURAN CLAIRE DECEAULT

Original Issue Date

09/06/2016

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

01/25/2026