MANDY D MOORE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003111

License Status

INACTIVE

Business

First Name

MANDY

Middle

Last Name

MOORE

Business Name

MANDY D MOORE

Original Issue Date

09/28/1998

Effective Date

08/01/2013

Expiration Date

09/30/2015

City

MT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

07/06/2015