TIMOTHY R MOFFITT - Physical Therapist License in Illinois | # 160004455

TIMOTHY R MOFFITT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004455

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

R

Last Name

MOFFITT

Business Name

TIMOTHY R MOFFITT

Original Issue Date

09/01/2005

Effective Date

10/02/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020