LAUREN MARIE BLYLY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

INOPERATIVE

Business

First Name

LAUREN

Middle

MARIE

Last Name

BLYLY

Business Name

LAUREN MARIE BLYLY

Original Issue Date

08/15/2022

Effective Date

01/27/2024

Expiration Date

03/01/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

12/03/2025