LISA MARIE MOORE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012291

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

MOORE

Business Name

LISA MARIE MOORE

Original Issue Date

01/19/2001

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2024