TRACY LYNN MOSE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008421

License Status

INACTIVE

Business

First Name

TRACY LYNN

Last Name

MOSE

Business Name

TRACY LYNN MOSE

Original Issue Date

10/06/1994

Effective Date

09/10/2010

Expiration Date

09/30/2012

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

07/05/2012