TIMOTHY J MOORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001756

License Status

NOT RENEWED

Business

First Name

TIMOTHY J

Last Name

MOORE

Business Name

TIMOTHY J MOORE

Original Issue Date

09/18/1993

Effective Date

07/31/2009

Expiration Date

09/30/2011

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2011