LAUREN BERNADETTE KING Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

INOPERATIVE

Business

First Name

LAUREN

Middle

BERNADETTE

Last Name

KING

Business Name

LAUREN BERNADETTE KING

Original Issue Date

02/08/2012

Effective Date

02/08/2012

Expiration Date

03/01/2014

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/16/2012