DIANA B MORELAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000984

License Status

ACTIVE

Business

First Name

DIANA

Middle

Last Name

MORELAND

Business Name

DIANA B MORELAND

Original Issue Date

01/20/1998

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/10/2025