LAUREN ASHLEY HEYBOER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005325

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ASHLEY

Last Name

HEYBOER

Business Name

LAUREN ASHLEY HEYBOER

Original Issue Date

10/16/2014

Effective Date

10/16/2014

Expiration Date

03/01/2016

City

KALAMAZOO

State

Zip

49009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/25/2016