LAUREN LEIGH LOUTERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

LEIGH

Last Name

LOUTERS

Business Name

LAUREN LEIGH LOUTERS

Original Issue Date

01/06/2004

Effective Date

01/06/2004

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006