LAUREN NICOLE RAY 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

NICOLE

Last Name

RAY

Business Name

LAUREN NICOLE RAY

Original Issue Date

12/05/2017

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2025