DIANE M MORAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001224

License Status

ACTIVE

Business

First Name

DIANE M

Last Name

MORAN

Business Name

DIANE M MORAN

Original Issue Date

12/20/1991

Effective Date

09/18/2025

Expiration Date

09/30/2027

City

ST. LOUIS

State

Zip

63125

Ever Disciplined

LastModifiedDate

09/18/2025