LAUREN MARIE PETOSKEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

LAUREN

Middle

MARIE

Last Name

PETOSKEY

Business Name

LAUREN MARIE PETOSKEY

Original Issue Date

12/12/2014

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

GALESBURG

State

Zip

61401

County

KNOX

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026