BRIAN N MOYER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002876

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

MOYER

Business Name

BRIAN N MOYER

Original Issue Date

11/01/2006

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022