MARK EDWARD MORAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001775

License Status

ACTIVE

Business

First Name

MARK

Middle

EDWARD

Last Name

MORAN

Business Name

MARK EDWARD MORAN

Original Issue Date

03/05/2002

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

01/23/2026