LAUREN M HEFFNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003824

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

HEFFNER

Business Name

LAUREN M HEFFNER

Original Issue Date

08/12/2010

Effective Date

08/12/2010

Expiration Date

03/01/2012

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/11/2012