MICHELLE G MOY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

MOY

Business Name

MICHELLE G MOY

Original Issue Date

09/15/2010

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018