ANGELINA C MORENO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002388

License Status

NOT RENEWED

Business

First Name

ANGELINA C

Last Name

MORENO

Business Name

ANGELINA C MORENO

Original Issue Date

01/13/1996

Effective Date

08/09/2019

Expiration Date

01/31/2022

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/19/2022