ALAN DAVID MOSES Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

INACTIVE

Business

First Name

ALAN

Middle

DAVID

Last Name

MOSES

Business Name

ALAN DAVID MOSES

Original Issue Date

09/15/2006

Effective Date

01/29/2014

Expiration Date

03/01/2016

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

01/29/2014