LAUREN ELIZABETH VANDEVENTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005195

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

VANDEVENTER

Business Name

LAUREN ELIZABETH VANDEVENTER

Original Issue Date

09/03/2014

Effective Date

09/03/2014

Expiration Date

03/01/2016

City

CASPER

State

Zip

82601

County

WYOMING

Ever Disciplined

LastModifiedDate

04/25/2016