IAN W MORA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018890

License Status

NOT RENEWED

Business

First Name

IAN

Middle

Last Name

MORA

Business Name

IAN W MORA

Original Issue Date

12/06/2011

Effective Date

08/03/2012

Expiration Date

09/30/2014

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014