MICHAEL JOHN MOSHENROSE - Physical Therapist License in Illinois | # 160008660

MICHAEL JOHN MOSHENROSE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008660

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

JOHN

Last Name

MOSHENROSE

Business Name

MICHAEL JOHN MOSHENROSE

Original Issue Date

08/05/2019

Effective Date

08/05/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022