Michie Moreno
ExpiredCalifornia license 31962
License
- Licensed by
- California Physician Assistant Board
- License number
- 31962
- Status
- Expired (Delinquent)
- First issued
- July 15, 2000
- Expired
- June 30, 2001
- License holder
- Michie 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
ActiveAnaheim, CAExpires Mar 31, 2027
Contact
944 Lamark Lane
Anaheim, CA 92802
Anaheim, CA 92802
Orange County