LAUREN JOY HARGRAVE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

LAUREN

Middle

JOY

Last Name

HARGRAVE

Business Name

LAUREN JOY HARGRAVE

Original Issue Date

01/08/2020

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2026