DANIEL EDWARD MOORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005992

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

EDWARD

Last Name

MOORE

Business Name

DANIEL EDWARD MOORE

Original Issue Date

05/07/2012

Effective Date

05/07/2012

Expiration Date

09/30/2013

City

PUEBLO

State

Zip

81003

County

COLORADO

Ever Disciplined

LastModifiedDate

11/12/2013