LAUREN VAN LOON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006679

License Status

NOT RENEWED

Business

First Name

LAUREN

Last Name

VAN LOON

Business Name

LAUREN VAN LOON

Original Issue Date

07/30/2018

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

WHITEFISH BAY

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/27/2022