VAN ERIC LAMORE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001755

License Status

NOT RENEWED

Business

First Name

VAN

Middle

ERIC

Last Name

LAMORE

Business Name

VAN ERIC LAMORE

Original Issue Date

01/23/2002

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

KENDALLVILLE

State

Zip

46755

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022