LAUREN BETH FIRST Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

BETH

Last Name

FIRST

Business Name

LAUREN BETH FIRST

Original Issue Date

12/13/2016

Effective Date

03/12/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020