VICTORIA C MOORE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007296

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

Last Name

MOORE

Business Name

VICTORIA C MOORE

Original Issue Date

09/20/2019

Effective Date

01/07/2022

Expiration Date

03/01/2024

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025