LAUREN M SQUIRE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009656

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

SQUIRE

Business Name

LAUREN M SQUIRE

Original Issue Date

04/28/2023

Effective Date

04/28/2023

Expiration Date

03/01/2024

City

MADISON

State

Zip

53705

Ever Disciplined

LastModifiedDate

02/05/2025