CAROLYN J MOSS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005719

License Status

NOT RENEWED

Business

First Name

CAROLYN J

Last Name

MOSS

Business Name

CAROLYN J MOSS

Original Issue Date

03/18/1989

Effective Date

03/18/1989

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005