DANIEL J MOORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010597

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

MOORE

Business Name

DANIEL J MOORE

Original Issue Date

08/21/2024

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

EAST LANSING

State

Zip

48823

Ever Disciplined

LastModifiedDate

01/28/2026