MICHELLE G MOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003769

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

MOY

Business Name

MICHELLE G MOY

Original Issue Date

06/24/2010

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018