CHRIS D MOORMAN - Physician Assistant License in Missouri | # 38*****91

CHRIS D MOORMAN

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

INOPERATIVE

Business

N

First Name

CHRIS

Middle

D

Last Name

MOORMAN

Business Name

CHRIS D MOORMAN

Original Issue Date

04/10/2012

Effective Date

04/10/2012

Expiration Date

03/01/2014

State

MO

Ever Disciplined

N

LastModifiedDate

07/29/2013