VICTORIA LAVONNE MOFFATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147734

License Status

NOT RENEWED

Business

Title

First Name

VICTORIA

Middle

LAVONNE

Last Name

MOFFATT

Business Name

VICTORIA LAVONNE MOFFATT MD

Original Issue Date

11/16/2018

Effective Date

07/30/2020

Expiration Date

07/31/2023

City

BERTHOUD

State

Zip

80513

Ever Disciplined

LastModifiedDate

11/30/2023