ALAN E MOORE - Physical Therapist License in Illinois | # 160004266

ALAN E MOORE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004266

License Status

NOT RENEWED

Business

N

First Name

ALAN

Middle

E

Last Name

MOORE

Business Name

ALAN E MOORE

Original Issue Date

02/04/2004

Effective Date

08/28/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020