DANE B MORITA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005137

License Status

ACTIVE

Business

First Name

DANE B

Last Name

MORITA

Business Name

DANE B MORITA

Original Issue Date

05/11/1987

Effective Date

09/01/2024

Expiration Date

09/30/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2024