MAGGIE RAE LAUFENBERG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

MAGGIE

Middle

RAE

Last Name

LAUFENBERG

Business Name

MAGGIE RAE LAUFENBERG

Original Issue Date

08/28/2008

Effective Date

08/28/2008

Expiration Date

03/01/2010

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

02/10/2011