TIMOTHY C MOOS - Physical Therapist License in Illinois | # 160003509

TIMOTHY C MOOS

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003509

License Status

INACTIVE

Business

N

First Name

TIMOTHY

Middle

C

Last Name

MOOS

Business Name

TIMOTHY C MOOS

Original Issue Date

11/24/1999

Effective Date

11/24/1999

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005