License Directory

Jacqueline Moore

Active

Michigan license 4301502110

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301502110
Status
Active
First issued
June 4, 2020
Expires
June 4, 2029
License holder
Jacqueline Moore
Entity type
Individual

Classifications

Contact

IHA Hospital Medicine Services
5301 E Huron River Drive
Ypsilanti, MI 48197
Washtenaw County