PRISCILLA MOE MULESA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003187

License Status

NOT RENEWED

Business

First Name

PRISCILLA MOE

Last Name

MULESA

Business Name

PRISCILLA MOE MULESA

Original Issue Date

05/21/1980

Effective Date

05/21/1980

Expiration Date

09/30/1996

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005