Michael Rafael Moreno
ExpiredCalifornia 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
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActiveLa Mesa, CAExpires Sep 30, 2027
Contact
825 5th Ave., Apt. 401
San Diego, CA 92101
San Diego, CA 92101
San Diego County