MATTHEW J MOORE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012189

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

MOORE

Business Name

MATTHEW J MOORE

Original Issue Date

11/02/2000

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

07/30/2024