License Directory

Michael Rafael Moreno

Expired

California license 30604

License

Licensed by
California Physician Assistant Board
License number
30604
Status
Expired (Delinquent)
First issued
August 17, 1999
Expired
June 30, 2001
License holder
Michael Rafael Moreno
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Michael Rafael Moreno
    License A65119
    Physician and Surgeon A
    Active
    La Mesa, CA
    Expires Sep 30, 2027

Contact

825 5th Ave., Apt. 401
San Diego, CA 92101
San Diego County