VICTORIA A MOORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

VICTORIA

Middle

Last Name

MOORE

Business Name

VICTORIA A MOORE

Original Issue Date

10/09/2024

Effective Date

02/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2026