IAN L MODDE DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028882

License Status

ACTIVE

Business

Title

DPT

First Name

IAN

Middle

Last Name

MODDE

Business Name

IAN L MODDE DPT

Original Issue Date

01/30/2025

Effective Date

01/30/2025

Expiration Date

09/30/2026

City

SAINT LOUIS

State

Zip

63122

Ever Disciplined

LastModifiedDate

01/30/2025