ANN M MOORE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001081

License Status

NOT RENEWED

Business

First Name

ANN M

Last Name

MOORE

Business Name

ANN M MOORE

Original Issue Date

01/01/1998

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005