LAUREN BLADE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

ACTIVE

Business

First Name

LAUREN

Last Name

BLADE

Business Name

LAUREN BLADE

Original Issue Date

10/01/2025

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

WINFIELD

State

Zip

60190

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026