Kevin Lawrence Moore
ExpiredCalifornia license 29400
License
- Licensed by
- California Physician Assistant Board
- License number
- 29400
- Status
- Expired (Delinquent)
- First issued
- October 1, 1998
- Expired
- July 31, 2000
- License holder
- Kevin Lawrence Moore
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
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CA
ExpiredWoodland Hills, CAExpired Jul 31, 2022
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CA
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ActiveSan Diego, CAExpires Jun 30, 2028
Contact
5601 Desoto Avenue
Woodland Hills, CA 91365
Woodland Hills, CA 91365
Los Angeles County