License holder summary

SHANNON LEE MOORE is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for SHANNON LEE MOORE is Ortonville, MI 484628932. This licensed professional license is not current. The license was granted 01/20/1999 and expired on 08/31/2001.

Michigan

Department of Licensing and Regulation

SHANNON LEE MOORE
Physician's Assistant - Physician Assistant
License number
5601003099
Date granted
01/20/1999
Date expires
08/31/2001
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Ortonville, MI 484628932
michiganlicensing.org
ID 25994213
LAST UPDATED 2024-02-17 11:27:48 UTC

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