CHRISTINA LYNN MOORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

CHRISTINA

Middle

LYNN

Last Name

MOORE

Business Name

CHRISTINA LYNN MOORE

Original Issue Date

08/18/2015

Effective Date

12/30/2025

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2025