LAUREN ELIZABETH SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

SMITH

Business Name

LAUREN ELIZABETH SMITH

Original Issue Date

10/21/2010

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018