LYNN MARIE MORENO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004597

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

MARIE

Last Name

MORENO

Business Name

LYNN MARIE MORENO

Original Issue Date

01/03/2013

Effective Date

03/23/2020

Expiration Date

03/01/2022

City

VIRGINIA BEACH

State

Zip

23451

Ever Disciplined

LastModifiedDate

07/27/2022