Shannon Elizabeth Moffett
ExpiredCalifornia license A104212
License
- Licensed by
- Medical Board of California
- License number
- A104212
- Status
- Expired (Delinquent)
- First issued
- June 4, 2008
- Expired
- June 30, 2022
- License holder
- Shannon Elizabeth Moffett
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
635 Prospect St
Maplewood, NJ 07040-2709
Maplewood, NJ 07040-2709
Essex County