Jeanette Lynne Moore PA-C
InactiveIllinois license 085001287
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085001287
- Status
- Inactive
- First issued
- December 23, 1999
- Expired
- March 1, 2004
- License holder
- Jeanette Lynne Moore PA-C
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 12/23/1999
Contact
Madison, WI 53711
Wisconsin County