RENEE MARIE MORELAND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001288

License Status

NOT RENEWED

Business

First Name

RENEE

Middle

MARIE

Last Name

MORELAND

Business Name

RENEE MARIE MORELAND

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/01/2006

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/09/2006