SAMUEL FELICIANO MORALES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004798

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

FELICIANO

Last Name

MORALES

Business Name

SAMUEL FELICIANO MORALES

Original Issue Date

08/09/2013

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

MIDDLESBORO

State

Zip

40965

County

KENTUCKY

Ever Disciplined

LastModifiedDate

05/10/2018