JEANETTE LYNNE MOORE PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001287

License Status

INACTIVE

Business

First Name

JEANETTE

Middle

LYNNE

Last Name

MOORE

Suffix

PA-C

Business Name

JEANETTE LYNNE MOORE PA-C

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/01/2004

City

MADISON

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006