JOSHUA MOEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

JOSHUA

Last Name

MOEN

Business Name

JOSHUA MOEN

Original Issue Date

09/07/2022

Effective Date

03/21/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60604

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025