License Directory

Lawrence Harrison Moore

Expired

California license 26419

License

Licensed by
California Physician Assistant Board
License number
26419
Status
Expired (Delinquent)
First issued
October 17, 1996
Expired
June 30, 2001
License holder
Lawrence Harrison Moore
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

Contact

1095 Marshall Way
Placerville, CA 95667
El Dorado County