MARYELLEN MORIARTY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002120

License Status

NOT RENEWED

Business

First Name

MARYELLEN

Last Name

MORIARTY

Business Name

MARYELLEN MORIARTY

Original Issue Date

01/16/1976

Effective Date

01/16/1976

City

MILWAUKEE

State

Zip

53218

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005