ADAM J MOOMAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004461

License Status

ACTIVE

Business

First Name

ADAM

Middle

Last Name

MOOMAW

Business Name

ADAM J MOOMAW

Original Issue Date

09/06/2005

Effective Date

07/30/2025

Expiration Date

09/30/2027

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

07/30/2025