LAWRENCE JOSEPH FROST Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

INOPERATIVE

Business

First Name

LAWRENCE

Middle

JOSEPH

Last Name

FROST

Business Name

LAWRENCE JOSEPH FROST

Original Issue Date

06/02/2004

Effective Date

09/16/2024

Expiration Date

03/01/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/03/2025