DANIEL TRAVIS MOYER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006871

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

TRAVIS

Last Name

MOYER

Business Name

DANIEL TRAVIS MOYER

Original Issue Date

12/06/2018

Effective Date

12/06/2018

Expiration Date

03/01/2020

City

SAN DIEGO

State

Zip

92121

Ever Disciplined

LastModifiedDate

11/24/2020