LAUREN B CASELLI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

CASELLI

Business Name

LAUREN B CASELLI

Original Issue Date

12/19/2013

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018