CHRIS D MOORMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004308

License Status

NOT RENEWED

Business

First Name

CHRIS

Middle

Last Name

MOORMAN

Business Name

CHRIS D MOORMAN

Original Issue Date

03/29/2012

Effective Date

01/04/2022

Expiration Date

03/01/2024

City

CAPE GIRARDEAU

State

Zip

63701

Ever Disciplined

LastModifiedDate

02/05/2025