MOIRA M MASSICOTTE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015731

License Status

ACTIVE

Business

First Name

MOIRA

Middle

Last Name

MASSICOTTE

Business Name

MOIRA M MASSICOTTE

BusinessDBA

DEWAN

Original Issue Date

04/25/2007

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2024