BRIAN N MOYER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

MOYER

Business Name

BRIAN N MOYER

Original Issue Date

02/21/2008

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022