MATTHEW ALEXANDER MOYD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007122

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ALEXANDER

Last Name

MOYD

Business Name

MATTHEW ALEXANDER MOYD

Original Issue Date

07/24/2019

Effective Date

07/24/2019

Expiration Date

03/01/2020

City

WEST ALLIS

State

Zip

53214

Ever Disciplined

LastModifiedDate

11/24/2020