MARK EDWARD MORAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

MARK

Middle

EDWARD

Last Name

MORAN

Business Name

MARK EDWARD MORAN

Original Issue Date

04/08/2002

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

STERLING

State

Zip

61081

County

WHITESIDE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/23/2026