LAUREN MADISON STAFFORD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

INOPERATIVE

Business

First Name

LAUREN

Middle

MADISON

Last Name

STAFFORD

Business Name

LAUREN MADISON STAFFORD

Original Issue Date

04/23/2024

Effective Date

04/23/2024

Expiration Date

03/01/2026

City

ELK GROVE VILLAGE

State

Zip

60007

Ever Disciplined

LastModifiedDate

12/03/2025