LISA M MOORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002220

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

MOORE

Business Name

LISA M MOORE

Original Issue Date

09/06/1995

Effective Date

09/06/1995

Expiration Date

09/30/2001

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005