AMY M MOON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003950

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

MOON

Business Name

AMY M MOON

Original Issue Date

11/15/2001

Effective Date

09/02/2025

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

09/02/2025