SARAH REBECCA MOON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010482

License Status

ACTIVE

Business

First Name

SARAH

Middle

REBECCA

Last Name

MOON

Business Name

SARAH REBECCA MOON

Original Issue Date

07/01/2024

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/05/2026