TODD A MOURNING Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009619

License Status

ACTIVE

Business

First Name

TODD A

Last Name

MOURNING

Business Name

TODD A MOURNING

Original Issue Date

09/19/1996

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

09/03/2024