MATTHEW D MOEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022045

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

Last Name

MOEN

Business Name

MATTHEW D MOEN

Original Issue Date

02/18/2016

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

MILWAUKEE

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/30/2024