THOMAS WILLIAM MORAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001820

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

WILLIAM

Last Name

MORAN

Business Name

THOMAS WILLIAM MORAN

Original Issue Date

07/23/2002

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

SULPHUR

State

Zip

70663

County

LOUISIANA

Ever Disciplined

LastModifiedDate

04/08/2014