CHRISTINE MORAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007234

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Last Name

MORAN

Business Name

CHRISTINE MORAN

Original Issue Date

08/27/2019

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022