PAYTON RENEE MOE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

PAYTON

Middle

RENEE

Last Name

MOE

Business Name

PAYTON RENEE MOE

Original Issue Date

08/27/2021

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/19/2026