LAUREN L GREENWOOD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

INOPERATIVE

Business

First Name

LAUREN

Middle

Last Name

GREENWOOD

Business Name

LAUREN L GREENWOOD

Original Issue Date

06/15/2015

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2022