TIMOTHY C MOOS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003509

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

MOOS

Business Name

TIMOTHY C MOOS

Original Issue Date

11/24/1999

Effective Date

11/24/1999

Expiration Date

09/30/2005

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005