MARINA MOELLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

ACTIVE

Business

First Name

MARINA

Last Name

MOELLER

Business Name

MARINA MOELLER

Original Issue Date

06/09/2025

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

ITASCA

State

Zip

60143

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2026