HALEY BROOKE MOORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

ACTIVE

Business

First Name

HALEY

Middle

BROOKE

Last Name

MOORE

Business Name

HALEY BROOKE MOORE

Original Issue Date

11/21/2022

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

ANNA

State

Zip

62906

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025