JOHN P MOORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003490

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

MOORE

Business Name

JOHN P MOORE

Original Issue Date

07/01/2009

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/12/2026