MICHELLE BOBBIE MOORE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002097

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

BOBBIE

Last Name

MOORE

Business Name

MICHELLE BOBBIE MOORE

Original Issue Date

09/26/2003

Effective Date

09/26/2003

Expiration Date

03/01/2004

City

IOWA CITY

State

Zip

52246

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006