LAURIE L BETTLACH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007189

License Status

ACTIVE

Business

First Name

LAURIE

Middle

Last Name

BETTLACH

Business Name

LAURIE L BETTLACH

Original Issue Date

08/14/2019

Effective Date

12/18/2025

Expiration Date

03/01/2028

City

SAINT LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/18/2025