MCKENNA MOORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

ACTIVE

Business

First Name

MCKENNA

Last Name

MOORE

Business Name

MCKENNA MOORE

Original Issue Date

11/27/2024

Effective Date

01/18/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/18/2026