HALEY BROOKE MOORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009259

License Status

ACTIVE

Business

First Name

HALEY

Middle

BROOKE

Last Name

MOORE

Business Name

HALEY BROOKE MOORE

Original Issue Date

09/24/2022

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

12/04/2025