ELISSA J MOSHER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002762

License Status

INACTIVE

Business

First Name

ELISSA J

Last Name

MOSHER

Business Name

ELISSA J MOSHER

Original Issue Date

08/26/1997

Effective Date

08/26/1997

Expiration Date

09/30/2003

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005