AMY A MOORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003863

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

MOORE

Business Name

AMY A MOORE

Original Issue Date

08/14/2001

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/25/2008