VICTORIA C MOORE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

Last Name

MOORE

Business Name

VICTORIA C MOORE

Original Issue Date

10/17/2019

Effective Date

01/07/2022

Expiration Date

03/01/2024

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025