Arizona
Board of Licensing
Kelly S. Moore PA
Physician Assistant
License number
2903
Date granted
10/21/2003
Class
Physician Assistant
Status
Expired
Address
Tlc Family Medicine, 4545 E Chandler Blvd Ste 204, Phoenix AZ 85048-7645
arizonalicensing.com
ID 22751424
LAST UPDATED 2024-03-19 15:50:33 UTC
LAST UPDATED 2024-03-19 15:50:33 UTC