JENNIFER ARIEL MOELLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006001

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ARIEL

Last Name

MOELLER

Business Name

JENNIFER ARIEL MOELLER

Original Issue Date

09/23/2016

Effective Date

09/23/2016

Expiration Date

03/01/2018

City

MACOMB

State

Zip

48042

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/10/2018