LAUREN TAYLOR FLAVAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

ACTIVE

Business

First Name

LAUREN

Middle

TAYLOR

Last Name

FLAVAN

Business Name

LAUREN TAYLOR FLAVAN

Original Issue Date

01/14/2021

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/19/2026