LAUREN M HEFFNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

HEFFNER

Business Name

LAUREN M HEFFNER

Original Issue Date

10/06/2010

Effective Date

10/06/2010

Expiration Date

03/01/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/11/2012