MICHAEL JOHN MOSHENROSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008660

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

MOSHENROSE

Business Name

MICHAEL JOHN MOSHENROSE

Original Issue Date

08/05/2019

Effective Date

08/05/2019

Expiration Date

01/31/2022

City

OLNEY

State

Zip

62450

Ever Disciplined

LastModifiedDate

05/19/2022