License holder summary

Lisa Ann Moreno is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Lisa Ann Moreno is VAMC- ONE VETERAN'S DRIVE, 3D Clinic- 111G, Minneapolis, MN 55417. This licensed professional license is current. The license was granted 05/12/2001 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Lisa Ann Moreno
Medical - Physician Assistant
License number
9612
Date granted
05/12/2001
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
VAMC- ONE VETERAN'S DRIVE, 3D Clinic- 111G, Minneapolis, MN 55417
mnlicensing.org
ID 22353110
LAST UPDATED 2024-03-22 13:30:41 UTC

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