CHRIS D MOORMAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

INOPERATIVE

Business

First Name

CHRIS

Middle

Last Name

MOORMAN

Business Name

CHRIS D MOORMAN

Original Issue Date

04/10/2012

Effective Date

04/10/2012

Expiration Date

03/01/2014

City

CAPE GIRARDEAU

State

Zip

63701

Ever Disciplined

LastModifiedDate

07/29/2013