LYDIA MOOTZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

ACTIVE

Business

First Name

LYDIA

Last Name

MOOTZ

Business Name

LYDIA MOOTZ

Original Issue Date

02/25/2026

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

MIDDLETON

State

Zip

53562

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026