RAQUEL VALLEJO-MOORE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007093

License Status

NOT RENEWED

Business

First Name

RAQUEL

Last Name

VALLEJO-MOORE

Business Name

RAQUEL VALLEJO-MOORE

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

03/01/2020

City

OLMITO

State

Zip

78575

County

TEXAS

Ever Disciplined

LastModifiedDate

11/24/2020