LAUREN BIETER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008102

License Status

NOT RENEWED

Business

First Name

LAUREN

Last Name

BIETER

Business Name

LAUREN BIETER

Original Issue Date

12/03/2020

Effective Date

02/03/2022

Expiration Date

03/01/2024

City

GREENFIELD

State

Zip

53220

Ever Disciplined

LastModifiedDate

02/05/2025