LYDIA MOOTZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011851

License Status

ACTIVE

Business

First Name

LYDIA

Last Name

MOOTZ

Business Name

LYDIA MOOTZ

Original Issue Date

11/03/2025

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

FRIENDSHIP

State

Zip

53934

Ever Disciplined

LastModifiedDate

02/12/2026