TRISHA NICOLE MOODY - Physical Therapist License in Illinois | # 070019846

TRISHA NICOLE MOODY

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019846

License Status

INACTIVE

Business

N

First Name

TRISHA

Middle

NICOLE

Last Name

MOODY

Business Name

TRISHA NICOLE MOODY

Original Issue Date

05/23/2013

Effective Date

08/05/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

07/06/2016