LAURA D WYATT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001182

License Status

ACTIVE

Business

First Name

LAURA D

Last Name

WYATT

Business Name

LAURA D WYATT

Original Issue Date

01/12/1999

Effective Date

03/17/2026

Expiration Date

03/01/2028

City

GARY

State

Zip

46403

Ever Disciplined

LastModifiedDate

03/17/2026