TIM DANIEL MOELLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

ACTIVE

Business

First Name

TIM

Middle

DANIEL

Last Name

MOELLER

Business Name

TIM DANIEL MOELLER

Original Issue Date

10/14/2022

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/19/2026