DAVID L MOSS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004952

License Status

INACTIVE

Business

First Name

DAVID L

Last Name

MOSS

Business Name

DAVID L MOSS

Original Issue Date

01/10/1987

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

EDEN PRAIRIE

State

Zip

55347

Ever Disciplined

LastModifiedDate

07/13/2006