DENA L MOORE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002661

License Status

ACTIVE

Business

First Name

DENA L

Last Name

MOORE

Business Name

DENA L MOORE

Original Issue Date

03/05/1997

Effective Date

09/16/2025

Expiration Date

09/30/2027

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/16/2025