BERNA BUNGABONG MOORE - Physician Assistant License in California | # 085006189

BERNA BUNGABONG MOORE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006189

License Status

NOT RENEWED

Business

N

First Name

BERNA

Middle

BUNGABONG

Last Name

MOORE

Business Name

BERNA BUNGABONG MOORE

Original Issue Date

05/02/2017

Effective Date

01/29/2022

Expiration Date

03/01/2024

State

CA

Ever Disciplined

N

LastModifiedDate

02/05/2025