ELIZABETH D MOORE - Physician Assistant License in Illinois | # 085000386

ELIZABETH D MOORE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000386

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH D

Last Name

MOORE

Business Name

ELIZABETH D MOORE

Original Issue Date

06/27/1989

Effective Date

12/19/2011

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014