THERESA M MOULTON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016926

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

MOULTON

Business Name

THERESA M MOULTON

Original Issue Date

02/23/2009

Effective Date

08/21/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

08/21/2024