License Verification

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KAYLA ELIZABETH MOORE

License Number: PA9118112

Data As Of 4/23/2025

Profession
Physician Assistant
License
PA9118112
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/16/2023
Address of Record
1477 Cotton 1477 Cotton Hollo
Athens
ATHENS, PA 18810
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
CUBANO, MIGUEL ALBERTO Supervising Prescribing Practitioner Medical Doctor 70931 04/26/2024
DAO, KIMBERLY Supervising Prescribing Practitioner Medical Doctor 154870 02/22/2023
FOGARTY, JULIE BARD Supervising Prescribing Practitioner Medical Doctor 96090 02/22/2024
GARG, ANIT Supervising Prescribing Practitioner Medical Doctor 89231 02/22/2024
MAYPER, STEPHEN DANIEL Supervising Prescribing Practitioner Medical Doctor 140774 02/22/2024
MILLER, TODD DAVIN Supervising Prescribing Practitioner Medical Doctor 86694 02/22/2024
SCHNEIDER, ZACHARY JAMES Supervising Prescribing Practitioner Medical Doctor 112410 02/22/2024

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 4/24/2025



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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