LAUREN DUANE BUCKINGHAM Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

INOPERATIVE

Business

First Name

LAUREN

Middle

DUANE

Last Name

BUCKINGHAM

Business Name

LAUREN DUANE BUCKINGHAM

Original Issue Date

05/28/2015

Effective Date

01/04/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025