REGAN D MOOMAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026051

License Status

ACTIVE

Business

First Name

REGAN

Middle

Last Name

MOOMAW

Business Name

REGAN D MOOMAW

Original Issue Date

08/11/2021

Effective Date

09/12/2024

Expiration Date

09/30/2026

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/12/2024