TRACY LYNN MOSE - Physical Therapist License in Indiana | # 070008421

TRACY LYNN MOSE

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008421

License Status

INACTIVE

Business

N

First Name

TRACY LYNN

Last Name

MOSE

Business Name

TRACY LYNN MOSE

Original Issue Date

10/06/1994

Effective Date

09/10/2010

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

07/05/2012