MELISSA M MOORE - Physician Assistant License in Illinois | # 085002846

MELISSA M MOORE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002846

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

M

Last Name

MOORE

Business Name

MELISSA M MOORE

Original Issue Date

10/12/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

12/16/2010