ALAN E MOORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004266

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

MOORE

Business Name

ALAN E MOORE

Original Issue Date

02/04/2004

Effective Date

08/28/2017

Expiration Date

09/30/2019

City

NORTH AURORA

State

Zip

60542

County

KANE

Ever Disciplined

LastModifiedDate

01/13/2020