LAUREN MARIE LEW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

MARIE

Last Name

LEW

Business Name

LAUREN MARIE LEW

Original Issue Date

09/23/2014

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018