JESSE L MOORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018656

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

Last Name

MOORE

Business Name

JESSE L MOORE

Original Issue Date

07/21/2011

Effective Date

09/18/2020

Expiration Date

09/30/2022

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

11/28/2022