CHRISTINE MORAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Last Name

MORAN

Business Name

CHRISTINE MORAN

Original Issue Date

11/04/2019

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022