SARAH REBECCA MOON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

ACTIVE

Business

First Name

SARAH

Middle

REBECCA

Last Name

MOON

Business Name

SARAH REBECCA MOON

Original Issue Date

11/21/2024

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2026