RANDI LYNNE MORELAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

ACTIVE

Business

First Name

RANDI

Middle

LYNNE

Last Name

MORELAND

Business Name

RANDI LYNNE MORELAND

Original Issue Date

02/18/2024

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/30/2026